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Individual
LISA SHOWS
Active
Individual
LISA SHOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC - 14083
AZ
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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