Individual
MS. LISA MARIE FEDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
11 E SUPERIOR ST STE 415, DULUTH, MN 55802-3008
(218) 249-0595
(218) 461-3666
Mailing address
11 E SUPERIOR ST STE 415, DULUTH, MN 55802-3008
(218) 249-0595
(218) 461-3666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4660
MN
Other
Enumeration date
12/28/2006
Last updated
03/29/2023
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