JOHN EDGAR

GROVE CITY, OH
NPI1952817462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence:   I.1901836)
Enumeration Date2017-12-19
Last Update Date2019-10-15
Business Address
JOHN EDGAR LISW
5665 HOOVER RD
GROVE CITY, OH 43123-9122
Phone number: 614-753-6080
Mailing Address
JOHN EDGAR LISW
1106 NORTHWEST BLVD
GRANDVIEW HEIGHTS, OH 43212-3631
Phone number: