Individual
CASSIDY SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 1ST ST, WAUBUN, MN 56589-4047
(218) 325-1531
Mailing address
41906 COUNTY ROAD 122, FRAZEE, MN 56544-8530
(218) 234-8917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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