Individual
LISA M REH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25440 S GOUGAR RD, MANHATTAN, IL 60442-9511
(815) 478-4527
Mailing address
25440 S GOUGAR RD, MANHATTAN, IL 60442-9511
(815) 478-4527
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1864015
IL
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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