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1235780016
EMERSON LEE DOUGLAS
PEPPER PIKE, OH
NPI
1235780016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: OH I.2002146)
Enumeration Date
2019-09-24
Last Update Date
2020-05-05
Business Address
MR. EMERSON LEE DOUGLAS LISW
30800 CHAGRIN BLVD
PEPPER PIKE, OH 44124-5925
Phone number: 216-591-0324
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Mailing Address
MR. EMERSON LEE DOUGLAS LISW
9220 MENTOR AVE
MENTOR, OH 44060-6412
Phone number: 440-354-9924
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