LISA ANNE BONG

GLEN ELLYN, IL
NPI1396132510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  149004363)
Enumeration Date2015-04-26
Last Update Date2015-04-26
Business Address
-- LISA ANNE BONG LCSW
787 EUCLID AVE
GLEN ELLYN, IL 60137-3866
Phone number: 630-962-2515
Mailing Address
-- LISA ANNE BONG LCSW
787 EUCLID AVE
GLEN ELLYN, IL 60137-3866
Phone number: 630-962-2515
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