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1194069153
LISA BRASCH
CHICAGO, IL
NPI
1194069153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149007659)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- LISA BRASCH LCSW
4085 N BROADWAY ST
CHICAGO, IL 60613-2117
Phone number: 773-883-9100
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Mailing Address
-- LISA BRASCH LCSW
1055 W GRANVILLE AVE APT 909
CHICAGO, IL 60660-5208
Phone number: 773-554-1710
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