Lisa Pack, LCSW | |
217 Laurel Pl Apt 2, San Rafael, CA 94901-2043 | |
(145) 254-4491 | |
Not Available |
Full Name | Lisa Pack |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 217 Laurel Pl Apt 2, San Rafael, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225710940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW114643 (California) | Primary |
Mailing Address | Practice Location Address |
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Lisa Pack, LCSW 217 Laurel Pl Apt 2, San Rafael, CA 94901-2043 Ph: (145) 254-4491 | Lisa Pack, LCSW 217 Laurel Pl Apt 2, San Rafael, CA 94901-2043 Ph: (145) 254-4491 |
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