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1902346497
LESSIE LUCILLE PHOMMALEE
COLUMBUS, OH
NPI
1902346497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I.0900196-SUPV)
Enumeration Date
2017-03-02
Last Update Date
2020-07-06
Business Address
Ms. LESSIE LUCILLE PHOMMALEE LISW-S
2865 W BROAD ST
COLUMBUS, OH 43204-2643
Phone number: 614-595-8107
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Mailing Address
Ms. LESSIE LUCILLE PHOMMALEE LISW-S
2865 W BROAD ST
COLUMBUS, OH 43204-2643
Phone number:
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