David Reed Lysakowski, LCSW
NPI #1245816826 in Centreville, Illinois
Provider Information
- NPI Number
- 1245816826
- Entity Type
- Individual
- Name
- David Reed Lysakowski, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 23, 2021
- Last Updated
- Mar 23, 2021
Practice Location
- Address
- 5900 BOND AVE
- City
- Centreville
- State
- Illinois
- ZIP Code
- 62207-2326
- Phone
- (619) 332-5302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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