Individual
LORI RENAE LUBBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
16569 S WALL ST, MOUNT VERNON, WA 98273-6588
(269) 254-5629
Mailing address
16569 S WALL ST, MOUNT VERNON, WA 98273-6588
(269) 254-5629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60571960
WA
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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