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1619079886
M. LISE MOULTON
WILLOUGHBY, OH
NPI
1619079886
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Former Name
MARY ELIZABETH KERN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: OH I-0004208)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
Ms. M. LISE MOULTON L.I.S.W.
5105 SOM CENTER RD
WILLOUGHBY, OH 44094-4203
Phone number: 216-621-5600
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Mailing Address
Ms. M. LISE MOULTON L.I.S.W.
1001 LAKESIDE AVE E #1200
CLEVELAND, OH 44114-1158
Phone number: 216-479-5541
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