Individual
LORI SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2320 HIGHWAY 12 E STE 2, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924
Mailing address
2320 HIGHWAY 12 E STE 2, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15334
MN
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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