LISA BRENNOM, LICSW
Social Worker - Clinical
Active
Individual
NPI: 1437179611
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 13588 (MS) |
Frequently Asked Questions
NPI 1437179611 is the National Provider Identifier for LISA BRENNOM, LICSW, a Social Worker - Clinical provider located in Minnetonka, MN. This NPI was enumerated on July 20, 2006.
LISA BRENNOM, LICSW practices at 3395 PLYMOUTH RD, Minnetonka, MN 55305.
Quick Facts
- NPI
- 1437179611
- Type
- Individual
- Enumerated
- Jul 20, 2006
- Last Updated
- May 3, 2018
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