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1023581212
LISA M BORIS
RAVENNA, OH
NPI
1023581212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I1901401)
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
-- LISA M BORIS LISW
6751 N CHESTNUT ST
RAVENNA, OH 44266-3903
Phone number: 330-296-3641
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Mailing Address
-- LISA M BORIS LISW
6751 N CHESTNUT ST
RAVENNA, OH 44266-3903
Phone number: 330-296-3641
Copy
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