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Individual
RAYMOND C LISAUCKIS
Active
Individual
RAYMOND C LISAUCKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
03283
TX
101YM0800X
Mental Health Counselor
03283
TX
104100000X
Social Worker
03283
TX
1041C0700X
Clinical Social Worker
Primary
S03283
TX
171M00000X
Case Manager/Care Coordinator
03283
TX
Other
Enumeration date
07/22/2005
Last updated
10/21/2008
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