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Organization
LISA SCHWAB, LLC
Active
Organization
LISA SCHWAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SCHWAB (OWNER)
(309) 691-5502
Entity
Organization
Contact information
Practice address
4211 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-7754
(309) 691-5502
Mailing address
4211 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-7754
(309) 712-7996
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/07/2015
Last updated
04/13/2020
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