Individual
SHAMEN RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, MA, MSW, MA
Contact information
Practice address
1707 TATUM ST APT 1, FALCON HEIGHTS, MN 55113-5527
(651) 412-7260
Mailing address
1707 TATUM ST APT 1, FALCON HEIGHTS, MN 55113-5527
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MN
Other
Enumeration date
10/12/2023
Last updated
10/13/2023
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