Individual
DR. CRYSTAL SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
602 E 4TH ST, CHASKA, MN 55318-2102
(952) 361-1848
Mailing address
602 E 4TH ST, CHASKA, MN 55318-2102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5721
MN
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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