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1023035474
LIZA JAYNE DRAKE
ELKHORN, WI
NPI
1023035474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7220123)
Enumeration Date
2006-07-15
Last Update Date
2010-03-02
Business Address
-- LIZA JAYNE DRAKE LCSW
W4051 COUNTY ROAD NN
ELKHORN, WI 53121-4338
Phone number: 262-741-3200
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Mailing Address
-- LIZA JAYNE DRAKE LCSW
7432 W BLUEMOUND RD
WAUWATOSA, WI 53213-3655
Phone number: 414-807-3477
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