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1043335680
LISA LACKEY
EVANSTON, IL
NPI
1043335680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178.004500)
Enumeration Date
2007-03-20
Last Update Date
2023-06-29
Business Address
LISA LACKEY MS, LCPC,CSAT,CMAT
1609 SHERMAN AVE STE 324
EVANSTON, IL 60201-5013
Phone number: 847-328-7588
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Mailing Address
LISA LACKEY MS, LCPC,CSAT,CMAT
1609 SHERMAN AVE STE 324
EVANSTON, IL 60201-5013
Phone number: 847-328-7588
Copy
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