LISA CARRIE BLOCK

PORTAGE, MI
NPI1073250403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801091113)
Enumeration Date2022-05-17
Last Update Date2022-05-17
Business Address
LISA CARRIE BLOCK LMSW-C
1325 ROYAL OAK AVE
PORTAGE, MI 49024-5023
Phone number: 269-303-2478
Mailing Address
LISA CARRIE BLOCK LMSW-C
1325 ROYAL OAK AVE
PORTAGE, MI 49024-5023
Phone number: 269-303-2478
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