Individual
MRS. LISA MALETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 JEFFERSON ST, PORT CLINTON, OH 43452-2415
(419) 734-2147
(419) 732-0892
Mailing address
821 JEFFERSON ST, PORT CLINTON, OH 43452-2415
(419) 734-2147
(419) 732-0892
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1031089
OH
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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