Lisa Renee Brooker LCSW

NPI 1154563195 - Social Worker - 1041C0700X

NPI Details
NPI 1154563195
Gender Female
Enumeration Date 04/06/2009
Last Updated 12/19/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
1 E. MERCHANTS DRIVE
SUITE 303
OSWEGO IL, 60543-9456, US
Phone (630) 200-3589
Fax
Business Location
PO BOX 477
OSWEGO IL, 60543-0477, US
Phone (630) 200-3589
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149014228
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According to our database, Ms. Lisa Renee Brooker LCSW NPI is 1154563195, taxonomy code is 1041C0700X and license number is 149014228, license state is located at Illinois. Lisa Renee Brooker LCSW physically located at 1 E. Merchants Drive, Oswego IL, 60543-9456. NPI Number Lisa Renee Brooker LCSW has the Individual type.

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1154563195 NPI number is provided on an as is basis without warranty of any kind. 1154563195 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Renee Brooker LCSW are for informational purposes only.