Organization
SHARON DAVERN MSED, LP, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON DAVERN MSED (OWNER)
(507) 534-2668
Entity
Organization
Contact information
Practice address
1001 14TH ST NW, ROCHESTER, MN 55901-2590
(507) 534-2668
(507) 540-1290
Mailing address
PO BOX 193, MANTORVILLE, MN 55955-0193
(507) 259-0206
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1946230
—
MN
Enumeration date
07/18/2017
Last updated
04/05/2019
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