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1982999074
LISA LA'REE KISHIYAMA
IDAHO FALLS, ID
NPI
1982999074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LMSW-31426)
Enumeration Date
2011-06-16
Last Update Date
2011-06-16
Business Address
MRS. LISA LA'REE KISHIYAMA LMSW
660 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5299
Phone number: 208-523-1558
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Mailing Address
MRS. LISA LA'REE KISHIYAMA LMSW
2820 SAINT CHARLES AVE
IDAHO FALLS, ID 83404-7330
Phone number: 208-681-4808
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