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Individual
LISA SCHAEFER
Active
Individual
LISA SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101075
OH
104100000X
Social Worker
Primary
S1904210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101075
OHIO CHEMICAL DEPENDENCY PROFESSIONAL BOARD
OH
Enumeration date
08/20/2015
Last updated
10/30/2019
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