Individual
DR. LISA JENNET TRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LMFT
Contact information
Practice address
219 SE MAIN ST STE 400, MINNEAPOLIS, MN 55414-2151
16128862524
Mailing address
219 SE MAIN ST STE 400, MINNEAPOLIS, MN 55414-2151
16128862524
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
3334
MN
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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