Individual
LISA LOREEN WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
5200 WILLSON RD STE 480, EDINA, MN 55424-1342
(612) 401-7340
Mailing address
5200 WILLSON RD STE 480, EDINA, MN 55424-1342
(612) 401-7340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14590
MN
Other
Enumeration date
02/09/2008
Last updated
04/09/2024
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