Individual
LISA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSS, LICSW
Contact information
Practice address
1821 UNIVERSITY AVE W, STE. N-464, SAINT PAUL, MN 55104-2887
(651) 659-2900
Mailing address
988 CHEROKEE AVE, WEST SAINT PAUL, MN 55118-1111
(651) 552-4694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
004171
CT
1041C0700X
Clinical Social Worker
Primary
17412
MN
Other
Enumeration date
12/04/2006
Last updated
07/09/2007
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