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1891253183
LISA M SHORT
LAKEWOOD, WA
NPI
1891253183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60770401)
Enumeration Date
2019-03-06
Last Update Date
2019-03-06
Business Address
LISA M SHORT MA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
LISA M SHORT MA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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