Individual
SUSAN SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14551 JUDICIAL RD, SUITE 100, BURNSVILLE, MN 55306-4841
(952) 898-5020
(952) 898-5858
Mailing address
14551 JUDICIAL RD, SUITE 100, BURNSVILLE, MN 55306-4841
(952) 898-5020
(952) 898-5858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1476
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D134031915208
DRIVER'S LICENSE
MN
Enumeration date
03/13/2017
Last updated
03/13/2017
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