Individual
ANN LICHLITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
601 FRANKLIN ST, WINONA, MN 55987-3822
(507) 453-9563
(507) 453-9562
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18529
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33P33LI
BCBS-MN
MN
05
—
876638100
—
MN
Enumeration date
12/17/2007
Last updated
08/30/2011
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