Individual
SHANNA LEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
12 E 66TH ST, RICHFIELD, MN 55423-2454
(612) 455-8422
(612) 455-8423
Mailing address
12 EAST 66TH STREET, RICHFIELD, MN 55423-2454
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7676
MN
Other
Enumeration date
09/28/2006
Last updated
11/29/2011
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