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Organization
LISA FLORES, LCSW, P.A.
Active
Organization
LISA FLORES, LCSW, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L SHELOR - FLORES (OWNER / PROVIDER)
(336) 545-3331
Entity
Organization
Contact information
Practice address
3518 DRAWBRIDGE PKWY, GREENSBORO, NC 27410-8432
(336) 545-3331
(336) 545-5142
Mailing address
3518 DRAWBRIDGE PKWY, GREENSBORO, NC 27410-8432
(336) 545-3331
(336) 545-5142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C000288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087365
VALUE OPTIONS
—
01
—
137103000
MAGELLAN
—
01
—
4671115
AETNA
—
01
—
7565K
BCBS
NC
Enumeration date
01/24/2011
Last updated
01/24/2011
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