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1861868754
LISA WOLLARD
DIAMOND SPRINGS, CA
NPI
1861868754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-14
Last Update Date
2015-08-14
Business Address
-- LISA WOLLARD
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6290
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Mailing Address
-- LISA WOLLARD
768 PLEASANT VALLEY RD
DIAMOND SPRINGS, CA 95619-9260
Phone number: 530-621-6290
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