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1982957932
LISA CARRIE TICE
GIG HARBOR, WA
NPI
1982957932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00007113)
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
-- LISA CARRIE TICE LICSW
6602 121ST ST NW
GIG HARBOR, WA 98332-8611
Phone number: 253-857-4742
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Mailing Address
-- LISA CARRIE TICE LICSW
6602 121ST ST NW
GIG HARBOR, WA 98332-8611
Phone number: 253-857-4742
Copy
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