MS. Lisa D Portinga, MSW

NPI #1619254372 in Saint Paul, Minnesota

Provider Information

NPI Number
1619254372
Entity Type
Individual
Name
MS. Lisa D Portinga, MSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
MSW
Enumeration Date
Nov 9, 2011
Last Updated
Nov 9, 2011

Practice Location

Address
1854 GRAND AVE
ZIP Code
55105-1403
Phone
(651) 702-6539

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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