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1215468293
LISA WIERSEMA
PARK RIDGE, IL
NPI
1215468293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178012433)
Enumeration Date
2017-03-22
Last Update Date
2023-03-15
Business Address
LISA WIERSEMA LCPC
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068-1471
Phone number: 847-759-9110
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Mailing Address
LISA WIERSEMA LCPC
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068-1471
Phone number: 847-759-9110
Copy
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