LISA D PORTINGA

SAINT PAUL, MN
NPI1619254372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  12440)
Enumeration Date2011-11-09
Last Update Date2011-11-09
Business Address
Ms. LISA D PORTINGA MSW
1854 GRAND AVE
SAINT PAUL, MN 55105-1403
Phone number: 651-702-6539
Mailing Address
Ms. LISA D PORTINGA MSW
3516 LEXINGTON AVE S APT 7
EAGAN, MN 55123-1126
Phone number: 651-686-5285
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