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1154783975
LISAURA D LOZADA-GOODE
CHICAGO, IL
NPI
1154783975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.008433)
Enumeration Date
2016-03-22
Last Update Date
2020-08-27
Business Address
LISAURA D LOZADA-GOODE LCPC, BC-DMT
6007 N SAUGANASH AVE FRNT
CHICAGO, IL 60646-5227
Phone number: 773-682-1068
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Mailing Address
LISAURA D LOZADA-GOODE LCPC, BC-DMT
5205 W AGATITE AVE UNIT 1
CHICAGO, IL 60630-3703
Phone number: 773-682-1068
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