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Individual
LISA MATHEWS
Active
Individual
LISA MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY61048865
WA
103TC0700X
Clinical Psychologist
2013040148
MO
Other
Enumeration date
12/17/2013
Last updated
09/14/2022
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