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Organization
LISA L. WHITE, PC
Active
Organization
LISA L. WHITE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA LYNN WHITE LCSW (OWNER)
(719) 233-7009
Entity
Organization
Contact information
Practice address
1751 S 8TH ST, COLORADO SPRINGS, CO 80905-1926
(719) 471-1816
(719) 471-9987
Mailing address
1751 S 8TH ST, COLORADO SPRINGS, CO 80905-1926
(719) 471-1816
(719) 471-9987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035526
—
CO
Enumeration date
08/24/2016
Last updated
06/17/2021
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