Provider Information for 1447744651
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Ms. LAUREN MARIE ROBERTS LISW
Sex: Female
NPI: 1447744651
Last Updated: 2022-11-17
Certification Date: 2022-11-17
Certification Date: 2022-11-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1447744651 | ||||||||
| Enumeration Date | 2018-06-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1323 DORSH RD SOUTH EUCLID, OH 44121-3837 United States Phone: 734-546-2156 | Fax:216-823-0544 | ||||||||
| Primary Practice Address | 1323 DORSH RD SOUTH EUCLID, OH 44121-3837 United States Phone: 734-546-2156 | Fax:216-823-0544 | ||||||||
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