Individual
LISA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
115 LANDMARK DR NE, SUITE 1, OWATONNA, MN 55060-5702
(507) 446-0431
(507) 446-8014
Mailing address
PO BOX 977, OWATONNA, MN 55060-0977
(507) 446-0431
(507) 446-8014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104279
UCARE
MN
01
—
139M3WA
BCBS
MN
Enumeration date
09/14/2006
Last updated
07/09/2007
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