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Individual
LISA H STANDER
Active
Individual
LISA H STANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004131
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136F4
BCBSNC GROUP # 015HF
NC
05
—
6003053
—
NC
Enumeration date
05/27/2006
Last updated
08/02/2009
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