Individual
LISA SWORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7448
(541) 779-1282
Mailing address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7448
(541) 779-1282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-09-61
OR
Other
Enumeration date
04/26/2016
Last updated
01/30/2020
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