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1609872589
LISA SHARON SQUIRE
BLOOMINGTON, MN
NPI
1609872589
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Professional Name
LISA S. SQUIRE PHD LP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN MNLP0204)
Enumeration Date
2005-06-24
Last Update Date
2015-12-01
Business Address
Dr. LISA SHARON SQUIRE Ph.D., L.P.
7800 METRO PKWY STE 300
BLOOMINGTON, MN 55425-1509
Phone number: 952-854-2440
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Mailing Address
Dr. LISA SHARON SQUIRE Ph.D., L.P.
7800 METRO PKWY STE 300
BLOOMINGTON, MN 55425-1509
Phone number: 952-854-2440
Copy
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