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Individual
LYNDA MAE FISHER
Active
Individual
LYNDA MAE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LISAC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC1123
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC0572
AZ
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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