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1528428794
LISA M STEVENS
LORAIN, OH
NPI
1528428794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH I.0008799-SUPV)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
LISA M STEVENS LISW
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
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Mailing Address
LISA M STEVENS LISW
2115 W PARK DR
LORAIN, OH 44053-1138
Phone number: 440-989-4987
Copy
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