Dunham, Lisa

Dunham, Lisa is an individual health care provider with primary practice located at 1541 Annex Rd , Jefferson WI 53549-9803. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dunham, Lisa can be contacted via phone (920) 674-7424.

Contact Information

Primary practice address
1541 Annex Rd Jefferson WI 53549-9803
Phone: (920) 674-7424
Fax: (920) 674-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7851-123 Wisconsin

Profile Details

NPI number 1346590452
LBN Legal business name Dunham, Lisa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2012
Last updated Feb 9th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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