LISA MARY DECLARK

PERRYSBURG, OH
NPI1134470545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OH  E.1100125)
Enumeration Date2012-09-25
Last Update Date2016-07-08
Business Address
-- LISA MARY DECLARK
119 W 2ND ST
PERRYSBURG, OH 43551-1402
Phone number: 419-376-6059
Mailing Address
-- LISA MARY DECLARK
119 W 2ND ST
PERRYSBURG, OH 43551-1402
Phone number: 419-376-6059
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