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Organization
PATRICIA LALLISH LCSW
Active
Organization
PATRICIA LALLISH LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA L LALLISH LCSW (LICENSED CLINICAL SOCIAL WORKER)
(618) 780-5256
Entity
Organization
Contact information
Practice address
24 TRAILRIDGE LN, GLEN CARBON, IL 62034-1834
(618) 780-5256
Mailing address
24 TRAILRIDGE LN, GLEN CARBON, IL 62034-1834
(618) 780-5256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016663
IL
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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