Individual
LISA M LIZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 KESSEL CT, SUITE 105, MADISON, WI 53711-6227
(608) 280-2406
(608) 280-2707
Mailing address
25 KESSEL CT, SUITE 105, MADISON, WI 53711-6227
(608) 280-2406
(608) 280-2707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149007195
IL
1041C0700X
Clinical Social Worker
Primary
7300
WI
Other
Enumeration date
08/22/2007
Last updated
04/12/2017
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