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1003242124
LISA RAUBOLT
CHICAGO, IL
NPI
1003242124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149015331)
Enumeration Date
2013-09-20
Last Update Date
2015-02-02
Business Address
Ms. LISA RAUBOLT
676 N SAINT CLAIR ST
CHICAGO, IL 60611-2927
Phone number: 312-926-4512
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Mailing Address
Ms. LISA RAUBOLT
676 N SAINT CLAIR ST
CHICAGO, IL 60611-2927
Phone number: 312-926-4512
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