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Individual
LISA A STANFORD
Active
Individual
LISA A STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904016171
VA
1041C0700X
Clinical Social Worker
Primary
22178
MD
1041C0700X
Clinical Social Worker
LC200002430
DC
Other
Enumeration date
02/11/2021
Last updated
12/15/2023
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