Lisa Grace Polisano
Lisa Grace Polisano is a Marriage & Family Therapist in Camarillo, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
975 Flynn RdCamarillo, CA 93012-8704
Phone: (805) 914-1439
Fax: (805) 482-0987
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 46922 (CA) |
|---|
Record details
| NPI number | 1043342140 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 12, 2007 |
| Last updated in NPPES | March 12, 2009 |
| Mailing address | 4798 Sullivan St, 103, Ventura, CA 93003-8213 |
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