M. LISE MOULTON

WILLOUGHBY, OH
NPI1619079886
Former NameMARY ELIZABETH KERN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: OH  I-0004208)
Enumeration Date2006-09-01
Last Update Date2007-07-08
Business Address
Ms. M. LISE MOULTON L.I.S.W.
5105 SOM CENTER RD
WILLOUGHBY, OH 44094-4203
Phone number: 216-621-5600
Mailing Address
Ms. M. LISE MOULTON L.I.S.W.
1001 LAKESIDE AVE E #1200
CLEVELAND, OH 44114-1158
Phone number: 216-479-5541