Individual
LISA IVERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1028 14TH ST, BELLINGHAM, WA 98225-6602
(360) 715-8493
(360) 734-5471
Mailing address
1028 14TH ST, BELLINGHAM, WA 98225-6602
(360) 715-8493
(360) 734-5471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005677
WA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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