Individual
LISA QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1053 GRAND AVE, SUITE 110, SAINT PAUL, MN 55105-3022
(651) 366-2128
Mailing address
1053 GRAND AVE, SUITE 110, SAINT PAUL, MN 55105-3022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13764
MN
Other
Enumeration date
09/05/2006
Last updated
07/09/2007
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