Individual
LISA SUZANNE NEWQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
421 E WASHINGTON ST, AUBURN, IL 62615-9321
(217) 502-2908
Mailing address
421 E WASHINGTON ST, AUBURN, IL 62615-9321
(217) 502-2908
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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