LISA STANFORD

CANTON, OH
NPI1649828385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
LISA STANFORD
304 15TH ST NE STE B
CANTON, OH 44714-2523
Phone number: 234-504-3008
Mailing Address
LISA STANFORD
304 15TH ST NE STE B
CANTON, OH 44714-2523
Phone number: 234-504-3008