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1245891258
LARA LISA ANDERS
MEDFORD, OR
NPI
1245891258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T1557)
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
LARA LISA ANDERS MFT
1911 UNITED WAY
MEDFORD, OR 97504-4970
Phone number: 541-773-2999
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Mailing Address
LARA LISA ANDERS MFT
1911 UNITED WAY
MEDFORD, OR 97504-4970
Phone number: 541-773-2999
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