Search › Minnesota › 1041C0700X
Evan Lieberman, LADC, LGSW
NPI 1245781608 · on the registry since 2016 · sole proprietor
Practice
- Address
- 501 Selby Avenue
Saint Paul, MN 55102 - Phone
- (847) 721-5639
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota