MS. Lisa Jacqueline Weber, LGSW

NPI #1932827730 in Crystal, Minnesota

Provider Information

NPI Number: 1932827730
Entity Type: Individual
Name: MS. Lisa Jacqueline Weber, LGSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LGSW
Enumeration Date: Aug 17, 2022
Last Updated: Aug 17, 2022

Practice Location

Address: 5700 BOTTINEAU BLVD STE 210
City: Crystal
State: Minnesota
ZIP Code: 55429-3184
Phone: (763) 330-2774

Specialties & Taxonomy Codes

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

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