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Individual

LISA R CORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
617 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6223
(715) 839-5175
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717-1903
(608) 829-5247

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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