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Individual

MS. LISA MARIE SILVESTRI-ADAMICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
35629 HILL DR, GRAND RAPIDS, MN 55744-5296
(218) 259-9417
Mailing address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 263-7540
(866) 732-0699

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15120
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
344542900
MN
01
97G91SI
BCBS
MN
Enumeration date
10/18/2006
Last updated
02/01/2008
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