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Individual

DR. MARY AUSTER SHANESY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LP

Contact information

Practice address
1155 COUNTY ROAD E E, SUITE 100, VADNAIS HEIGHTS, MN 55110-5183
(651) 241-9200
Mailing address
1812 HUMBOLDT AVE S, MINNEAPOLIS, MN 55403-2813
(608) 576-2146

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5470
MN

Other

Enumeration date
09/26/2013
Last updated
04/01/2021
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