Individual
LISA J MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
411 LAUREL ST, SUITE: 3310, DES MOINES, IA 50314-3017
(515) 643-6290
(515) 643-6291
Mailing address
532 KENBRIDGE LN, ROCK HILL, SC 29732-8337
(515) 314-9490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007262
NC
Other
Enumeration date
10/17/2006
Last updated
01/08/2020
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