LISA COBURN

JOLIET, IL
NPI1861511719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149009732)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- LISA COBURN LCSW
501 ELLA AVE
JOLIET, IL 60433-2799
Phone number: 815-727-8521
Mailing Address
-- LISA COBURN LCSW
421 CORNELIA ST
JOLIET, IL 60435-6037
Phone number: 815-723-1092
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