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
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55105-1403
- Phone
- (651) 702-6539
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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