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1972659159
LISA FORTLOUIS WOOD
TUKWILA, WA
NPI
1972659159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA WA 1504)
Enumeration Date
2007-01-28
Last Update Date
2007-07-09
Business Address
Prof. LISA FORTLOUIS WOOD Ph.D.
16040 CHRISTENSEN RD STE 217
TUKWILA, WA 98188-2966
Phone number: 206-244-9959
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Mailing Address
Prof. LISA FORTLOUIS WOOD Ph.D.
16040 CHRISTENSEN RD STE 217
TUKWILA, WA 98188-2966
Phone number: 206-244-9959
Copy
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