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1053510008
LISA HERNANDEZ
PLAINFIELD, IL
NPI
1053510008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 178.004854)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
-- LISA HERNANDEZ
13300 S STATE ROUTE 59 SUITE 104
PLAINFIELD, IL 60585-9847
Phone number: 815-577-8970
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Mailing Address
-- LISA HERNANDEZ
1112 PRAIRIE ST APT 5
AURORA, IL 60506-5400
Phone number:
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