Andrea Doherty Lissuzzo, LCSW
NPI #1699375592 in River Forest, Illinois
Provider Information
- NPI Number
- 1699375592
- Entity Type
- Individual
- Name
- Andrea Doherty Lissuzzo, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 29, 2020
- Last Updated
- Oct 18, 2021
Practice Location
- Address
- 526 KEYSTONE AVE
- City
- River Forest
- State
- Illinois
- ZIP Code
- 60305-1612
- Phone
- (708) 710-2650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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