Lisa Mary Declark
Lisa Mary Declark is a Mental Health Counselor in Perrysburg, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2012
Practice location Address checks out
119 W 2nd StPerrysburg, OH 43551-1402
Phone: (419) 376-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence E.1100125 (OH) |
|---|
Record details
| NPI number | 1134470545 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2012 |
| Last updated in NPPES | July 8, 2016 |
| Mailing address | 119 W 2nd St, Perrysburg, OH 43551-1402 |
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