Individual
MRS. ALISA GAYLE FISHMAN RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACM
Contact information
Practice address
2151 WAUKEGAN RD STE 100, BANNOCKBURN, IL 60015-1885
(847) 444-5300
(847) 267-1429
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-6715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149025724
IL
1041C0700X
Clinical Social Worker
73690
CA
Other
Enumeration date
03/20/2019
Last updated
08/03/2023
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