LISA DIANE BARKSTALL

CHAMPAIGN, IL
NPI1003011321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.005051)
Enumeration Date2007-06-18
Last Update Date2014-04-08
Business Address
Ms. LISA DIANE BARKSTALL LCSW
1801 FOX DR
CHAMPAIGN, IL 61820-7236
Phone number: 217-398-8080
Mailing Address
Ms. LISA DIANE BARKSTALL LCSW
704 ARLINGTON CT
CHAMPAIGN, IL 61820-5002
Phone number: 773-703-3583
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