Lisa Lynn Polch

NPI #1962915975 in Ashtabula, Ohio

Provider Information

NPI Number: 1962915975
Entity Type: Individual
Name: Lisa Lynn Polch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 13, 2017
Last Updated: Nov 13, 2017

Practice Location

Address: 4726 MAIN AVE
City: Ashtabula
State: Ohio
ZIP Code: 44004-6929
Phone: (440) 953-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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