Individual
LORI A HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
546 PARK AVE, DELAVAN, WI 53115-1979
(262) 402-8775
Mailing address
546 PARK AVE, DELAVAN, WI 53115-1979
(262) 402-8775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18611-130
WI
Other
Enumeration date
03/14/2020
Last updated
03/14/2020
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