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Individual
REGINA LISIECKI
Active
Individual
REGINA LISIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
75194
TX
101YP2500X
Professional Counselor
Primary
75194
TX
Other
Enumeration date
11/28/2017
Last updated
03/17/2018
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