| Martha A Liscano, Inc | |
|
941 Chatham Ln 103 Columbus OH 43221-2416 | |
| (614) 451-9401 | |
| Not Available |
| Full Name | Martha A Liscano, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 941 Chatham Ln, Columbus, Ohio |
| Authorized Official Name and Position | Laura C Marado (PRACTICE MANAGER) |
| Authorized Official Contact | 6143260511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha A Liscano, Inc 941 Chatham Ln 103 Columbus OH 43221-2416 Ph: (614) 451-9401 | Martha A Liscano, Inc 941 Chatham Ln 103 Columbus OH 43221-2416 Ph: (614) 451-9401 |
| NPI Number | 1285985564 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285985564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I0000992 (Ohio) | Primary |
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