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1073178273
LISA ANNETTE WILLIS
CLEVELAND, OH
NPI
1073178273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-03
Last Update Date
2019-05-03
Business Address
LISA ANNETTE WILLIS
8411 BROADWAY AVE
CLEVELAND, OH 44105
Phone number: 216-441-0200
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Mailing Address
LISA ANNETTE WILLIS
4158 BEXLEY BLVD
SOUTH EUCLID, OH 44121-2711
Phone number: 216-215-2533
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