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1801138763
LISA MICHELLE WYNEKEN
SAN DIEGO, CA
NPI
1801138763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW77559)
Enumeration Date
2013-03-19
Last Update Date
2022-10-24
Business Address
LISA MICHELLE WYNEKEN MSW, LCSW
2423 CAMINO DEL RIO S STE 205
SAN DIEGO, CA 92108-3735
Phone number: 775-338-0773
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Mailing Address
LISA MICHELLE WYNEKEN MSW, LCSW
2423 CAMINO DEL RIO S STE 205
SAN DIEGO, CA 92108-3735
Phone number: 775-338-0773
Copy
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