Woodruff, Lisa Louise

Woodruff, Lisa Louise is an sole proprietor health care provider with primary practice located at 4505 White Bear Pkwy Suite 1800, White Bear Lake MN 55110-3678. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Woodruff, Lisa Louise can be contacted via phone (651) 426-8191.

Contact Information

Primary practice address
4505 White Bear Pkwy Suite 1800 White Bear Lake MN 55110-3678
Phone: (651) 426-8191
Fax: (651) 426-6766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP0870 Minnesota

Profile Details

NPI number 1548342512
LBN Legal business name Woodruff, Lisa Louise
Credentials LP,LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1548342512 NPPES
Minnesota Other 62-06159 UBH

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