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1114138179
LISA ANN MAGNUS
CUDAHY, WI
NPI
1114138179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 1648-123, 13932-131)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Ms. LISA ANN MAGNUS LCSW, SAC
5900 S LAKE DR
CUDAHY, WI 53110-3171
Phone number: 414-489-4421
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Mailing Address
Ms. LISA ANN MAGNUS LCSW, SAC
564 E JORDAN LN
OAK CREEK, WI 53154-7082
Phone number: 414-570-6049
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