LISA COUSINS TRACY

BERKELEY, CA
NPI1720595119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  64812)
Enumeration Date2018-01-07
Last Update Date2018-01-07
Business Address
LISA COUSINS TRACY PhD, MSW, LCSW
3120 TELEGRAPH AVE STE 10
BERKELEY, CA 94705-1965
Phone number: 510-463-1797
Mailing Address
LISA COUSINS TRACY PhD, MSW, LCSW
4706 MANILA AVE
OAKLAND, CA 94609-2272
Phone number: 510-882-4896
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