Individual
ALEXANDRA LIOSATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3425 SUPERIOR AVE, SHEBOYGAN, WI 53081-1863
(920) 458-5557
Mailing address
1107 NORTH AVE, SHEBOYGAN, WI 53083-4830
(920) 458-5557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5213-125
WI
Other
Enumeration date
12/06/2013
Last updated
02/18/2014
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