Lisa Packard
NPI #1053819953 in Port Orange, Florida
Provider Information
- NPI Number
- 1053819953
- Entity Type
- Individual
- Name
- Lisa Packard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 25, 2018
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 906 WINGATE TRL
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32128-7524
- Phone
- (989) 262-9905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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