Individual
MRS. LISL E. ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
801 PARK AVE, MINNEAPOLIS, MN 55404-1136
(612) 343-3265
(612) 343-3267
Mailing address
1684 VAN BUREN AVE # 2, SAINT PAUL, MN 55104-2053
(612) 343-3265
(612) 343-3267
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
17973
MN
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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