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Individual
LISA HINES
Active
Individual
LISA HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., LCSW, LPHA
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.113114
IL
1041C0700X
Clinical Social Worker
Primary
149.028488
IL
Other
Enumeration date
05/01/2024
Last updated
12/20/2024
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