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1982754958
LISA SAMUELSON
CHICAGO, IL
NPI
1982754958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146007238)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- LISA SAMUELSON
1653 W CONGRESS PKWY SENN 203
CHICAGO, IL 60612-3833
Phone number: 312-942-5332
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Mailing Address
-- LISA SAMUELSON
998 PLANTAIN CT
CRYSTAL LAKE, IL 60014-6973
Phone number:
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