Individual
LISA MARIE WALKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 MAGNOLIA AVE E, SAINT PAUL, MN 55106-3334
(651) 587-0480
Mailing address
1046 MAGNOLIA AVE E, SAINT PAUL, MN 55106-3334
(651) 587-0480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
03/27/2012
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