Individual
MRS. LISA MAE DENISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
(541) 414-1711
Mailing address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
(541) 414-1711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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