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COURTNEY LOMBARD LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1790154557

Individual Registrant:
 COURTNEY  LOMBARD LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
2143 S TAMIAMI TRL  OSPREY, FL 34229-9696 US
Tel: 813-395-9049  Fax: --

Contact information for business:
1915 W BELLE PLAINE AVE APT 1  CHICAGO, IL 60613-1828 US
Tel: 816-830-1516  Fax: --

Registration Information:
NPI: 1790154557
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
MO2019039413
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
IL149.022758

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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