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1306487798
LISA KUSUMPA
ARLINGTON HEIGHTS, IL
NPI
1306487798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149010909)
Enumeration Date
2019-10-07
Last Update Date
2020-08-04
Business Address
Mrs. LISA KUSUMPA MSW, LCSW
204 S HARVARD AVE
ARLINGTON HEIGHTS, IL 60005-1646
Phone number: 773-490-6486
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Mailing Address
Mrs. LISA KUSUMPA MSW, LCSW
5017 W BERTEAU AVE
CHICAGO, IL 60641-1738
Phone number: 773-490-6486
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