Individual
LISA OCASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9764 77TH ST S, COTTAGE GROVE, MN 55016-5237
(651) 785-3349
Mailing address
1833 3RD AVE, ANOKA, MN 55303-2424
(612) 924-3807
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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