Individual
LISA SORENSON-WOODHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3450 OLEARY LN, SAINT PAUL, MN 55123-2340
(651) 454-0114
(651) 454-3492
Mailing address
3100 FLORIDA AVE S, ST LOUIS PARK, MN 55426-3427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12892
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050K1SO
BCBS
MN
01
—
62-68949
UBH
MN
01
—
HP38614
HEALTH PARTNERS
MN
Enumeration date
10/03/2006
Last updated
07/08/2007
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