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Individual

MRS. LISA BRAWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
677 WOODLAND SQUARE LOOP SE, LACEY, WA 98503-1000
(360) 295-9605
(360) 295-9605
Mailing address
9220 PERIWINKLE LOOP NE, LACEY, WA 98516-3899
(360) 295-9605
(360) 295-9605

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61070075
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/05/2015
Last updated
09/11/2021
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