Individual
LISA RAUSCHENDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114-1489
(651) 659-2922
Mailing address
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114-1489
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22663
MN
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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