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1891056008
LISA WOLANZYK
BRANDON, FL
NPI
1891056008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 2351C)
Enumeration Date
2012-06-04
Last Update Date
2018-12-16
Business Address
LISA WOLANZYK LCSW
421 LITHIA PINECREST RD
BRANDON, FL 33511-6138
Phone number: 256-444-0682
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Mailing Address
LISA WOLANZYK LCSW
421 LITHIA PINECREST RD
BRANDON, FL 33511-6138
Phone number: 813-315-8648
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