Individual
MARY C SHANNON-MYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 COUNTY ROAD 10, #400, BROOKLYN CENTER, MN 55429-3072
(612) 596-0800
Mailing address
179 LITTLE CANADA RD E, #133, LITTLE CANADA, MN 55117-1384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05318
MN
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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