Individual
JEANIE LISK-HIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
1212 CHERRY ST, TOLEDO, OH 43608-2906
(419) 693-0631
Mailing address
1212 CHERRY ST, TOLEDO, OH 43608-2906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1701797
OH
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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