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Individual
MS. LISA TAMI WESSAN
Active
Individual
MS. LISA TAMI WESSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
072240
NY
1041C0700X
Clinical Social Worker
Primary
117020
MA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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