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Organization
LIVE LOVE AND GROWTH
Active
Organization
LIVE LOVE AND GROWTH
Active
Other names
DNL Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIA LIEBERENZ LCPC (CLINICAL THERAPIST)
(331) 250-1586
Entity
Organization
Contact information
Practice address
1010 JORIE BLVD, SUITE 112, OAK BROOK, IL 60523-2215
(331) 250-1586
Mailing address
592 FRONT ST, LISLE, IL 60532-2205
(331) 250-1586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009005
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
PRIVATE INSURANCE
IL
Enumeration date
09/10/2014
Last updated
09/10/2014
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