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Individual

BARBARA JEAN SHOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
2730 HERSCHEL ST N APT 322, SAINT PAUL, MN 55113-0033
(651) 983-7948
Mailing address
2730 HERSCHEL ST N APT 322, SAINT PAUL, MN 55113-0033
(651) 983-7948

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4346
MN
106H00000X
Marriage & Family Therapist
4346
WI

Other

Enumeration date
04/06/2023
Last updated
01/05/2025
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