Letizio, Sharon Lisa

Letizio, Sharon Lisa is an individual health care provider with primary practice located at 540 E 1St St , Waconia MN 55387-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Letizio, Sharon Lisa can be contacted via phone (952) 442-4437.

Contact Information

Primary practice address
540 E 1St St Waconia MN 55387-1601
Phone: (952) 442-4437
Fax: (952) 442-3084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 09412 Minnesota

Profile Details

NPI number 1972504041
LBN Legal business name Letizio, Sharon Lisa
Credentials MSW LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972504041 NPPES
Minnesota Other 6295013 UBH-MEDICA
Minnesota MEDICAID 802957100 UBH-MEDICA
Minnesota Other 88D04LE UBH-MEDICA
Minnesota Other 1023604 UBH-MEDICA
Minnesota Other HP30776 UBH-MEDICA

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