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1720382229
LISA ELLEN ODEGAARD
MEDFORD, OR
NPI
1720382229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFC # 30449)
Enumeration Date
2010-12-27
Last Update Date
2014-12-11
Business Address
-- LISA ELLEN ODEGAARD MA, MFT
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
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Mailing Address
-- LISA ELLEN ODEGAARD MA, MFT
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Phone number: 541-774-8200
Copy
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