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Lisa Mary Declark
Mental Health Counselor in Perrysburg, Ohio
NPI 1134470545

Lisa Mary Declark is a Mental Health Counselor based in Perrysburg, OH and is specialized in Mental Health. Lisa Mary Declark practices in Perrysburg, OH. The NPI Number for Lisa Mary Declark is 1134470545 and holds a License No. E.1100125 (Ohio).

The current practice location address for Lisa Mary Declark is 119 W 2Nd St, Perrysburg, OH and can be reached out via phone at 419-376-6059.

Location: 119 W 2Nd St, Perrysburg, OH, 43551-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134470545
Provider Name
Lisa Mary Declark
Credential
Provider Entity Type
Individual
Gender
Female
Address
119 W 2Nd St, Perrysburg, OH, 43551-1402
Phone Number
419-376-6059
Fax Number
Provider Enumeration Date
09/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
119 W 2Nd St
City
Perrysburg
State
Ohio
Zip
43551-1402
Phone Number
419-376-6059
Fax Number
person
Provider Business Mailing Address Details
Address
119 W 2Nd St
City
Perrysburg
State
Ohio
Zip
43551-1402
Phone Number
419-376-6059
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
E.1100125 (Ohio)
Definition
Definition to come...
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