Moulton, M. Lise
Moulton, M. Lise is an individual health care provider with primary practice located at 5105 Som Center Rd , Willoughby OH 44094-4203. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Moulton, M. Lise can be contacted via phone (216) 621-5600.Contact Information
Primary practice address
5105 Som Center Rd
Willoughby OH 44094-4203
Phone: (216) 621-5600
Fax: (216) 479-5554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I-0004208 | Ohio |
Profile Details
| NPI number | 1619079886 |
|---|---|
| LBN Legal business name | Moulton, M. Lise |
| Credentials | L.I.S.W. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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