Individual
MRS. LISSA E TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
115 55TH ST, CLARENDON HILLS, IL 60514-1593
(630) 861-4879
Mailing address
115 55TH ST, CLARENDON HILLS, IL 60514-1593
(630) 861-4879
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1795784
IL
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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