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1700364379
LISA KOLVITES
BURLINGAME, CA
NPI
1700364379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1303370418)
Enumeration Date
2018-08-05
Last Update Date
2018-08-05
Business Address
LISA KOLVITES
826 MAHLER RD
BURLINGAME, CA 94010-1604
Phone number: 650-689-5597
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Mailing Address
LISA KOLVITES
1217A S B ST
SAN MATEO, CA 94402-2429
Phone number: 650-315-0260
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