LISA VINE

STOCKTON, CA
NPI1891852661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS22813)
Enumeration Date2007-01-02
Last Update Date2022-01-03
Business Address
-- LISA VINE LCSW
1305 TOMMYDON ST
STOCKTON, CA 95210-3364
Phone number: 209-476-5490
Mailing Address
-- LISA VINE LCSW
1305 TOMMYDON ST
STOCKTON, CA 95210-3364
Phone number: 209-476-5490
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