LISA E. JACK

SAINT PAUL, MN
NPI1891827457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MN  MN 3215)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Dr. LISA E. JACK Ph.D., LP
2233 HAMLINE AVE N STE 611
SAINT PAUL, MN 55113-5007
Phone number: 651-455-7333
Mailing Address
Dr. LISA E. JACK Ph.D., LP
2233 HAMLINE AVE N STE 611
SAINT PAUL, MN 55113-5007
Phone number: 651-455-7333
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