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Individual

MS. LISA JOANN WORSHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4504 LANDING DR, ORLANDO, FL 32808-1143
(407) 948-6944
Mailing address
4504 LANDING DR, ORLANDO, FL 32808-1143
(407) 948-6944

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/10/2011
Last updated
07/10/2011
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