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Individual

LISA J TORBORG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY. D.

Contact information

Practice address
110 2ND ST S, SUITE 301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570
Mailing address
1740 W SAINT GERMAIN ST, SUITE 200, SAINT CLOUD, MN 56301-4059
(320) 251-0223
(320) 251-0172

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP4710
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
797206700
MN
Enumeration date
08/16/2006
Last updated
11/30/2015
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