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1821305277
LISA M BOUZAGLOU
RIVERSIDE, CA
NPI
1821305277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 70108)
Enumeration Date
2010-09-07
Last Update Date
2024-03-13
Business Address
LISA M BOUZAGLOU
4344 LATHAM ST STE 110
RIVERSIDE, CA 92501-1773
Phone number: 951-779-4917
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Mailing Address
LISA M BOUZAGLOU
4344 LATHAM ST STE 110
RIVERSIDE, CA 92501-1773
Phone number: 951-779-4917
Copy
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