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Individual

LISA A FRIEND

Active
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Individual

LISA A FRIEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW, CDCA

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.169817
OH
104100000X
Social Worker
S1302539
OH
1041C0700X
Clinical Social Worker
Primary
I.2103083
OH

Other

Enumeration date
04/07/2018
Last updated
01/17/2024
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