LISA MORTIE REYNOSO

ANOKA, MN
NPI1861835829
Former NameLISA MORTIE RAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  573)
Enumeration Date2013-04-09
Last Update Date2014-08-18
Business Address
Miss LISA MORTIE REYNOSO MA, LPCC
630 E MAIN ST
ANOKA, MN 55303-2527
Phone number: 763-712-1903
Mailing Address
Miss LISA MORTIE REYNOSO MA, LPCC
12497 DRAKE ST NW
COON RAPIDS, MN 55448-2095
Phone number: 763-464-7219
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