Individual
SHANNON BIRCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW, LMSW
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 558-2285
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 558-2285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123619
IA
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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