-- FRED ALLEN LISW ⚕️ Ohio 1063431443

NPI	1063431443
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	101YM0800X Counselor, Mental Health (Licence: OH I-7931)
Enumeration Date	2006-07-18
Last Update Date	2007-07-19

-- FRED ALLEN LISW

28 E RAHN RD SUTIE 105

KETTERING, OH 45429-5461

Phone number: 937-434-6840

-- FRED ALLEN LISW

631 KENWOOD AVE.

CLAYTON, OH 45415

Phone number: 937-277-1592