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Individual

DR. LISA SANDLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., L.C.S.W

Contact information

Practice address
1541 E FABYAN PKWY, SUITE 100, GENEVA, IL 60134-4105
(630) 845-9644
Mailing address
1541 E FABYAN PKWY, SUITE 100, GENEVA, IL 60134-4105
(630) 845-9644

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008481
IL
1041C0700X
Clinical Social Worker
149012405
IL

Other

Enumeration date
04/16/2007
Last updated
01/07/2013
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