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1699818245
LISA WILD
OAKLAND, CA
NPI
1699818245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 37077)
Enumeration Date
2007-02-14
Last Update Date
2018-04-12
Business Address
Ms. LISA WILD MFT
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3885
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Mailing Address
Ms. LISA WILD MFT
420 WAYNE AVE #4
OAKLAND, CA 94606-1133
Phone number: 510-428-3885
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