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1790905008
LISA RENEE WILSON
OCALA, FL
NPI
1790905008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: FL SW 10251)
Enumeration Date
2007-04-27
Last Update Date
2013-04-11
Business Address
Ms. LISA RENEE WILSON LCSW
2091 NE 35TH ST
OCALA, FL 34479-2909
Phone number: 352-732-1355
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Mailing Address
Ms. LISA RENEE WILSON LCSW
PO BOX 685
CITRA, FL 32113
Phone number: 352-425-8454
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