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1972856060
LIDA LISOWE
RALEIGH, NC
NPI
1972856060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 8452)
Enumeration Date
2012-10-26
Last Update Date
2016-03-29
Business Address
-- LIDA LISOWE NCC, LPCA
3725 NATIONAL DR SUITE 220
RALEIGH, NC 27612-4066
Phone number: 919-781-8370
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Mailing Address
-- LIDA LISOWE NCC, LPCA
8604 ERINSBROOK DR
RALEIGH, NC 27617-8338
Phone number: 919-322-9699
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