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Individual

CHRISTINE LALICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S

Contact information

Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1500674-SUPV
OH
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0192230
OH
Enumeration date
06/02/2013
Last updated
11/01/2021
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