LISA M DEFAZIO

KENOSHA, WI
NPI1336374925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  7524-123)
Enumeration Date2009-05-26
Last Update Date2019-10-10
Business Address
LISA M DEFAZIO M.S.W., L.C.S.W.
3734 7TH AVE SUITE 24
KENOSHA, WI 53140-5525
Phone number: 262-654-0487
Mailing Address
LISA M DEFAZIO M.S.W., L.C.S.W.
6125 GREEN BAY RD STE 700
KENOSHA, WI 53142-2928
Phone number: 262-654-0487
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