Individual
BLAIR EVANS LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 COLORADO BLVD STE 102, LOS ANGELES, CA 90041-1733
(213) 915-8621
Mailing address
850 COLORADO BLVD STE 102, LOS ANGELES, CA 90041-1733
(213) 915-8621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
66155
CA
1041C0700X
Clinical Social Worker
Primary
LCSW66155
CA
Other
Enumeration date
08/28/2015
Last updated
08/15/2024
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