Individual
LISA T BARGENDER
Active
Individual
LISA T BARGENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18096
WI
104100000X
Social Worker
130020-121
WI
1041C0700X
Clinical Social Worker
Primary
8967
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058771
—
WI
Enumeration date
07/28/2016
Last updated
02/01/2022
Update your record
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