Individual
SHIRLEEN KAY ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
17305 MEADOW CREEK LANE, PINE CITY, MN 55063
(763) 444-4838
Mailing address
17305 MEADOW CREEK LANE, PINE CITY, MN 55063
(763) 444-4838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3302
MN
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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