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1770943987
LISA ELLEN JORDAN
DEERFIELD, IL
NPI
1770943987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180010147)
Enumeration Date
2016-03-01
Last Update Date
2016-05-29
Business Address
-- LISA ELLEN JORDAN LCPC
420 LAKE COOK RD SUITE 121
DEERFIELD, IL 60015-5646
Phone number: 847-668-4295
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Mailing Address
-- LISA ELLEN JORDAN LCPC
2139 MAPLE AVE
NORTHBROOK, IL 60062-5205
Phone number: 847-638-2419
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