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1801977251
LISA JEAN WOOD
FULLERTON, CA
NPI
1801977251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
-- LISA JEAN WOOD
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-879-0929
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Mailing Address
-- LISA JEAN WOOD
9971 W PACIFIC
ANAHEIM, CA 92804
Phone number: 714-866-3807
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