| NPI | 1700024668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L LADENDORFF Sole Proprieter 541-805-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L2326) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |