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1801457049
LISA CARROLL BODE
TUSTIN, CA
NPI
1801457049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT24345)
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
Dr. LISA CARROLL BODE LMFT, PhD
440 W 1ST ST STE 203
TUSTIN, CA 92780-3018
Phone number: 714-543-0999
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Mailing Address
Dr. LISA CARROLL BODE LMFT, PhD
440 W 1ST ST STE 203
TUSTIN, CA 92780-3018
Phone number: 714-543-0999
Copy
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