Lutisha Jefferson

NPI #1578941894 in La Grange Park, Illinois

Provider Information

NPI Number: 1578941894
Entity Type: Individual
Name: Lutisha Jefferson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 7, 2015
Last Updated: May 7, 2015

Practice Location

Address: 333 N LA GRANGE RD
Address 2: SUITE 1
City: La Grange Park
State: Illinois
ZIP Code: 60526-5646
Phone: (708) 995-3680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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