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1700301058
LISA GAIL CHILDERS
PEORIA, IL
NPI
1700301058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149015265)
Enumeration Date
2017-08-08
Last Update Date
2022-07-21
Business Address
Ms. LISA GAIL CHILDERS LCSW
508 W TIMBER RIDGE DR
PEORIA, IL 61615-2057
Phone number: 309-251-9967
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Mailing Address
Ms. LISA GAIL CHILDERS LCSW
508 W TIMBER RIDGE DR
PEORIA, IL 61615-2057
Phone number: 309-251-9967
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