Doctor Name: | SARAH LILJA |
NPI Number: | 1053455329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 11334 |
Business Practice Address: | 8990 Springbrook Dr Nw Suite 220 Coon Rapids, MN - 554335850 |
Business Phone Number: | 7637804440 |
Business Fax Number: | 7637809219 |
Mailing Address: | 8990 Springbrook Dr Nw, Suite 220 COON RAPIDS |
State: | MN |
Postal Code: | 554335850 |
Phone Number: | 7637804440 |
Fax Number: | 7637809219 |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 11334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |