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1720606973
LISA LAWRENCE
GRANITE CITY, IL
NPI
1720606973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.021852)
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
LISA LAWRENCE LCSW
2100 MADISON AVE
GRANITE CITY, IL 62040-4713
Phone number: 618-798-3000
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Mailing Address
LISA LAWRENCE LCSW
9316 N HUMBERT RD
BRIGHTON, IL 62012-2026
Phone number: 618-623-1334
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