NICOLE LIS

LIBERTYVILLE, IL
NPI1720147424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149012224)
Enumeration Date2006-12-08
Last Update Date2007-07-09
Business Address
-- NICOLE LIS LCSW
31480 N US HIGHWAY 45
LIBERTYVILLE, IL 60048-9444
Phone number: 847-680-2715
Mailing Address
-- NICOLE LIS LCSW
31480 US HIGHWAY 45
LIBERTYVILLE, IL 60048
Phone number: 847-680-2715
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