Individual
SHANE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1133
(952) 435-6797
Mailing address
7580 160TH ST W, LAKEVILLE, MN 55044
(952) 898-1133
(952) 435-6797
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2517
MN
Other
Enumeration date
06/06/2014
Last updated
02/07/2024
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