Lisa A Foodim, L.C.S.W.

NPI #1619968500 in Newcastle, Wyoming

Provider Information

NPI Number: 1619968500
Entity Type: Individual
Name: Lisa A Foodim, L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: Oct 31, 2005
Last Updated: Oct 20, 2021

Practice Location

Address: 420 DEANNE AVE
City: Newcastle
State: Wyoming
ZIP Code: 82701-2936
Phone: (307) 746-4456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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