Individual
LISA ANN TRANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
30 N 8TH ST, CLOQUET, MN 55720-1601
(218) 590-8528
Mailing address
PO BOX 638, CLOQUET, MN 55720-0638
(218) 590-8528
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304099
MN
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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