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1982059002
LISA SWORD
MEDFORD, OR
NPI
1982059002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 11-09-61)
Enumeration Date
2016-04-26
Last Update Date
2020-01-30
Business Address
LISA SWORD
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
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Mailing Address
LISA SWORD
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
Copy
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