Individual
LAURA N STOCKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1210 PEARL ST, EUGENE, OR 97401-3573
(541) 729-8385
Mailing address
PO BOX 2632, EUGENE, OR 97402-0237
(541) 729-8385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L2930
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500613596
—
OR
Enumeration date
10/06/2006
Last updated
04/19/2018
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