Individual
LISA MAUREEN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
825 NICOLLET MALL, MEDICAL ARTS BUILDING, SUITE 1655, MINNEAPOLIS, MN 55402-2606
(651) 278-5370
(651) 351-2757
Mailing address
1314 1ST ST N, STILLWATER, MN 55082-4058
(651) 278-5370
(651) 351-2757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11332
MN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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