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1962087320
LISA L FEDERICO
GRASS VALLEY, CA
NPI
1962087320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA A123433)
Enumeration Date
2021-03-16
Last Update Date
2021-03-16
Business Address
LISA L FEDERICO AMFT, APCC
988 MCCOURTNEY RD
GRASS VALLEY, CA 95949-7400
Phone number: 530-470-2736
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Mailing Address
LISA L FEDERICO AMFT, APCC
988 MCCOURTNEY RD
GRASS VALLEY, CA 95949-7400
Phone number: 530-470-2736
Copy
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