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1952817462
JOHN EDGAR
GROVE CITY, OH
NPI
1952817462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: I.1901836)
Enumeration Date
2017-12-19
Last Update Date
2019-10-15
Business Address
JOHN EDGAR LISW
5665 HOOVER RD
GROVE CITY, OH 43123-9122
Phone number: 614-753-6080
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Mailing Address
JOHN EDGAR LISW
1106 NORTHWEST BLVD
GRANDVIEW HEIGHTS, OH 43212-3631
Phone number:
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