NPI 1023581212

Lisa M Boris, LISW

Practitioner Clinical Social Worker Ravenna, OH

Practice location

Address: 6751 N Chestnut St, Ravenna, OH 44266-3903
Phone: (330) 296-3641

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence I1901401 (OH)

Other Social Worker providers in Ohio →

Registry record

NPI: 1023581212
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2019
Record last updated: 10 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.