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Individual

MRS. ELISA S. CONRAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3301
MD
106H00000X
Marriage & Family Therapist
52859
CA
225400000X
Rehabilitation Practitioner

Other

Enumeration date
03/21/2007
Last updated
06/19/2012
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