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Individual
LISA MARIE GASTALDI
Active
Individual
LISA MARIE GASTALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
155344
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
16482-130
WI
Other
Enumeration date
06/06/2012
Last updated
12/09/2024
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