Individual
CHRISTINE SHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
347 SMITH AVE N, SAINT PAUL, MN 55102-2387
(651) 220-6479
Mailing address
3301 BELDEN DR NE, ST ANTHONY, MN 55418-1645
(763) 350-9966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19994
MN
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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