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1992103337
LISA HARRIS
EFFINGHAM, IL
NPI
1992103337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2014-12-17
Last Update Date
2014-12-17
Business Address
-- LISA HARRIS
6 S LAKEWOOD DR
EFFINGHAM, IL 62401-1847
Phone number: 217-254-3877
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Mailing Address
-- LISA HARRIS
6 S LAKEWOOD DR
EFFINGHAM, IL 62401-1847
Phone number: 217-254-3877
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