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1952831042
MISHAUN LYDE
SAN DIEGO, CA
NPI
1952831042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 78031)
Enumeration Date
2017-06-13
Last Update Date
2017-07-31
Business Address
MISHAUN LYDE MSW
2535 KETTNER BLVD STE 1A4
SAN DIEGO, CA 92101-1252
Phone number: 619-615-0701
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Mailing Address
MISHAUN LYDE MSW
2535 KETTNER BLVD STE 1A4
SAN DIEGO, CA 92101-1252
Phone number: 619-615-0701
Copy
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