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1093884975
LISA C HOLLABAUGH
ANNA, IL
NPI
1093884975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071005458)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- LISA C HOLLABAUGH P.H.D.
1000 N MAIN ST
ANNA, IL 62906-1652
Phone number: 618-833-5161
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Mailing Address
-- LISA C HOLLABAUGH P.H.D.
7929 OLD HIGHWAY 13
MURPHYSBORO, IL 62966-6507
Phone number:
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