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1710114244
LISA KUNKEL
HERCULES, CA
NPI
1710114244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 15676)
Enumeration Date
2009-06-11
Last Update Date
2009-06-11
Business Address
MISS LISA KUNKEL MSW
2000 CLARK ST
HERCULES, CA 94547-5440
Phone number: 510-860-0003
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Mailing Address
MISS LISA KUNKEL MSW
2000 CLARK ST
HERCULES, CA 94547-5440
Phone number: 510-860-0003
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