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Individual
MS. LISA CURRY
Active
Individual
MS. LISA CURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149005922
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0579185
—
IL
01
—
149005922
BLUE CROSS ILLINOIS NUMBE
IL
05
—
1579185
—
IL
01
—
99118
BLUE CROSS WELLMARK NUMBE
IL
01
—
IL0195
JOHN DEERE PROVIDER NUMBE
IL
Enumeration date
08/26/2005
Last updated
09/09/2009
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