Individual
MISS LISA MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1660 HIGHWAY 100 S, PARKDALE PALZA #430, MINNEAPOLIS, MN 55416-1529
(952) 224-9679
Mailing address
1660 HIGHWAY 100 S, PARKDALE PALZA #430, MINNEAPOLIS, MN 55416-1529
(952) 224-9679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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