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1073191078
LISA MICHELLE WIBORG
LAKEWOOD, OH
NPI
1073191078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.1303255-SUPR)
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
LISA MICHELLE WIBORG LISW-S
2160 ARTHUR AVE
LAKEWOOD, OH 44107-5760
Phone number: 330-671-4963
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Mailing Address
LISA MICHELLE WIBORG LISW-S
2160 ARTHUR AVE
LAKEWOOD, OH 44107-5760
Phone number: 330-671-4963
Copy
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