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1104590546
LISA MICHELE TAYLOR
CHICAGO, IL
NPI
1104590546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-08-08
Last Update Date
2021-08-08
Business Address
LISA MICHELE TAYLOR
2930 S MICHIGAN AVE STE 100
CHICAGO, IL 60616-3484
Phone number: 773-819-5504
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Mailing Address
LISA MICHELE TAYLOR
17985 AMHERST CT APT 301
COUNTRY CLUB HILLS, IL 60478-5143
Phone number: 773-853-9768
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