Individual
ERIN SHACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1350 W 106TH ST, BLOOMINGTON, MN 55431-4126
(952) 806-8704
Mailing address
1350 W 106TH ST, BLOOMINGTON, MN 55431-4126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16508
MN
Other
Enumeration date
01/06/2012
Last updated
05/14/2026
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