Lisa Christine Thibodeau, 129741-121

NPI #1578929600 in New Richmond, Wisconsin

Provider Information

NPI Number: 1578929600
Entity Type: Individual
Name: Lisa Christine Thibodeau, 129741-121
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: 129741-121
Enumeration Date: Jan 5, 2016
Last Updated: Jan 5, 2016

Practice Location

Address: 1752 DORSET LN
City: New Richmond
State: Wisconsin
ZIP Code: 54017-2452
Phone: (715) 410-6772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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