Individual
MRS. LISA ANN BITIKOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 WILSON ST S, SALEM, OR 97302-4232
(503) 910-4011
Mailing address
145 WILSON ST S, SALEM, OR 97302-4232
(503) 910-4011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L3363
OR
Other
Enumeration date
02/15/2007
Last updated
04/04/2008
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