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1053824904
LISA JEAN LEVY
MELROSE PARK, IL
NPI
1053824904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 299669)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
LISA JEAN LEVY
4419 W NORTH AVE
MELROSE PARK, IL 60160-1021
Phone number: 773-777-7112
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Mailing Address
LISA JEAN LEVY
3021 W CULLOM AVE
CHICAGO, IL 60618-1309
Phone number: 773-387-9231
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