LISA LYCAN

CLARKSTON, WA
NPI1902568140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60367811)
Enumeration Date2021-10-05
Last Update Date2021-10-05
Business Address
LISA LYCAN
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
Mailing Address
LISA LYCAN
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
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