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1902596125
LILITH MARIE IVERSEN
CHICO, CA
NPI
1902596125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 115104)
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
LILITH MARIE IVERSEN
3211 COHASSET RD STE 130
CHICO, CA 95973-5403
Phone number: 530-552-5058
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Mailing Address
LILITH MARIE IVERSEN
3211 COHASSET RD STE 130
CHICO, CA 95973-5403
Phone number:
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