Individual
MS. LOIS FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CDC II
Contact information
Practice address
690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1303
(253) 982-3684
Mailing address
2514 WOODS DR APT L, STEILACOOM, WA 98388-4238
(817) 471-0011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3618
AK
1041C0700X
Clinical Social Worker
Primary
640
AK
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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