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Lisa Marie Vanbaalen

Social Worker, Clinical in Duluth, MN. Individual provider (NPI-1).

NPI number1679636799
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679636799
Entity type
Individual (NPI-1)
Name
Lisa Marie Vanbaalen
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical11744MNYes

Practice location

400 E 3rd St
Duluth, MN 55805-1951

Phone 218-786-5944

Mailing address

400 E 3rd St
Duluth, MN 55805-1951

Phone 218-786-5944

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