Individual
IRENE CORZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
772 MAIN ST, SUITE 203, LAKE GENEVA, WI 53147
(847) 890-1369
Mailing address
772 MAIN ST, SUITE 203, LAKE GENEVA, WI 53147
(847) 890-1369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180007190
IL
Other
Enumeration date
03/03/2011
Last updated
10/15/2015
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