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1053050567
LISA M BORNEMAN
ROSEVILLE, MN
NPI
1053050567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 10068)
Enumeration Date
2022-06-02
Last Update Date
2022-06-02
Business Address
LISA M BORNEMAN DSW, MSW, LICSW
2233 HAMLINE AVE N STE 512
ROSEVILLE, MN 55113-5003
Phone number: 651-690-6721
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Mailing Address
LISA M BORNEMAN DSW, MSW, LICSW
2431 GRAND AVE S
MINNEAPOLIS, MN 55405-3432
Phone number: 612-578-8864
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