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1629445200
LISA CARLSON
CHICAGO, IL
NPI
1629445200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149017850)
Enumeration Date
2015-08-30
Last Update Date
2020-11-13
Business Address
LISA CARLSON
3139 N LINCOLN AVE STE 227
CHICAGO, IL 60657-3173
Phone number: 630-310-6756
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Mailing Address
LISA CARLSON
3139 N LINCOLN AVE STE 227
CHICAGO, IL 60657-3173
Phone number: 630-310-6756
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