LISA GRACE

SANTA ROSA, CA
NPI1801914239
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  96216)
Enumeration Date2007-03-26
Last Update Date2016-12-02
Business Address
-- LISA GRACE
818 CHERRY ST
SANTA ROSA, CA 95404-4207
Phone number: 707-217-3298
Mailing Address
-- LISA GRACE
3650 KELSEY KNLS APT. 738
SANTA ROSA, CA 95403-0158
Phone number: 707-217-3298
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