Individual
ALEXIS SHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
401 DEMERS AVE, EAST GRAND FORKS, MN 56721-1835
(218) 779-0134
Mailing address
5073 W ELM CT, GRAND FORKS, ND 58203-0606
(701) 367-4585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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