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1073250403
LISA CARRIE BLOCK
PORTAGE, MI
NPI
1073250403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801091113)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
LISA CARRIE BLOCK LMSW-C
1325 ROYAL OAK AVE
PORTAGE, MI 49024-5023
Phone number: 269-303-2478
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Mailing Address
LISA CARRIE BLOCK LMSW-C
1325 ROYAL OAK AVE
PORTAGE, MI 49024-5023
Phone number: 269-303-2478
Copy
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