Individual
MEGAN JEAN BOOM SHEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 CENTERVILLE RD, SUITE 235, SAINT PAUL, MN 55127-3699
(651) 289-9385
(651) 289-3113
Mailing address
4444 CENTERVILLE RD, SUITE 235, SAINT PAUL, MN 55127-3699
(651) 289-9385
(651) 289-3113
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2700
MN
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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