Lisa M Borneman, DSW, MSW, LICSW

NPI #1053050567 in Roseville, Minnesota

Provider Information

NPI Number: 1053050567
Entity Type: Individual
Name: Lisa M Borneman, DSW, MSW, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: DSW, MSW, LICSW
Enumeration Date: Jun 2, 2022
Last Updated: Jun 2, 2022

Practice Location

Address: 2233 HAMLINE AVE N STE 512
City: Roseville
State: Minnesota
ZIP Code: 55113-5003
Phone: (651) 690-6721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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