EMERSON LEE DOUGLAS

PEPPER PIKE, OH
NPI1235780016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OH  I.2002146)
Enumeration Date2019-09-24
Last Update Date2020-05-05
Business Address
Mr. EMERSON LEE DOUGLAS LISW
30800 CHAGRIN BLVD
PEPPER PIKE, OH 44124-5925
Phone number: 216-591-0324
Mailing Address
Mr. EMERSON LEE DOUGLAS LISW
9220 MENTOR AVE
MENTOR, OH 44060-6412
Phone number: 440-354-9924
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