Individual
LISA HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 SE KANE ST, ROSEBURG, OR 97470-3943
(541) 673-0057
(541) 673-2270
Mailing address
770 SE KANE STREET, ROSEBURG, OR 97470-8936
(541) 673-0057
(541) 673-2270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4525
OR
Other
Enumeration date
04/14/2006
Last updated
11/19/2011
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