# ALLAN WEISBARD L.C.S.W. LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467741595
- **Authorized official:** MR. ALLAN WEISBARD LCSW (OWNER)
- **Authorized official phone:** (541) 821-1083

## Contact information

- **Practice address:** 320 E MAIN ST, STE 203, ASHLAND, OR 97520-6800
- **Practice address phone:** (541) 821-1083
- **Mailing address:** PO BOX 1175, ASHLAND, OR 97520-0040
- **Mailing address phone:** (541) 821-1083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 1923 | OR | Yes |

## Other

- **Enumeration date:** 03/29/2011
- **Last updated:** 03/29/2011
