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1013129733
LISA BRENNAN
CHICAGO, IL
NPI
1013129733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Additional Taxonomies
101Y00000X Counselor
(Licence: IL 178.004881)
Enumeration Date
2007-05-04
Last Update Date
2009-04-17
Business Address
-- LISA BRENNAN
4507 N RICHMOND ST
CHICAGO, IL 60625-3825
Phone number: 773-551-8106
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Mailing Address
-- LISA BRENNAN
4507 N RICHMOND ST
CHICAGO, IL 60625-3825
Phone number: 773-551-8106
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