Individual
DR. LISA M. ORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
699 E SOUTH TEMPLE STE 100G, SALT LAKE CITY, UT 84102-1159
(801) 560-7549
Mailing address
740 2ND AVE, SALT LAKE CITY, UT 84103-3428
(801) 560-7549
(801) 467-6157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
294528-3501
UT
Other
Enumeration date
04/21/2006
Last updated
11/10/2021
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