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1780302679
LISA THAO
WEST SACRAMENTO, CA
NPI
1780302679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 85071)
Enumeration Date
2022-08-17
Last Update Date
2022-08-17
Business Address
LISA THAO
500 JEFFERSON BLVD STE B-175
WEST SACRAMENTO, CA 95605-2350
Phone number: 916-375-6364
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Mailing Address
LISA THAO
2425 CAPITOL AVE APT R
SACRAMENTO, CA 95816-5818
Phone number: 530-552-2441
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