LISA WAGNER

CHICAGO, IL
NPI1114693587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2021-08-17
Last Update Date2021-08-17
Business Address
LISA WAGNER
706 W 17TH ST APT 2F
CHICAGO, IL 60616-1220
Phone number: 630-709-8252
Mailing Address
LISA WAGNER
706 W 17TH ST APT 2F
CHICAGO, IL 60616-1220
Phone number: 630-709-8252