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1851583454
LISA L ALLEN
SOUTH LAKE TAHOE, CA
NPI
1851583454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-08-16
Last Update Date
2018-03-17
Business Address
Mrs. LISA L ALLEN BS
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7964
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Mailing Address
Mrs. LISA L ALLEN BS
1900 LAKE TAHOE BLVD
S LAKE TAHOE, CA 96150-6305
Phone number: 530-541-2445
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