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Individual
LIESL GESCHKE
Active
Individual
LIESL GESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
LF60393323
WA
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/03/2016
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