Individual
MISS SHELLEY ANN SKARDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. LADC
Contact information
Practice address
17305 MEADOW CREEK LANE, PINE CITY, MN 55063
(763) 444-4838
Mailing address
108H SOUTH DR, CIRCLE PINES, MN 55014-3309
(612) 735-1066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302565
MN
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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