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Individual

SHALANDA SHAWNTAE BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHW

Contact information

Practice address
1035 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2503
(651) 968-4708
Mailing address
2115 CEDAR AVE S, MINNEAPOLIS, MN 55404-3102
(612) 346-0156

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MN

Other

Enumeration date
11/26/2025
Last updated
11/26/2025
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