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1881322873
LISA INEZ JOHNSON
SCOTTSDALE, AZ
NPI
1881322873
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Former Name
LISA INEZ CASTILLO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: AZ LAC-20298)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
LISA INEZ JOHNSON MSC, LAC
7730 E GREENWAY RD STE 205
SCOTTSDALE, AZ 85260-1788
Phone number: 480-774-3040
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Mailing Address
LISA INEZ JOHNSON MSC, LAC
4032 W QUESTA DR
GLENDALE, AZ 85310-3255
Phone number: 602-741-1812
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