Individual
MRS. MEGAN SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6513 CREEK DR, MINNEAPOLIS, MN 55439-1207
(612) 418-0299
Mailing address
6513 CREEK DRIVE, EDINA, MN 55439
(612) 418-0299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13203
MN
Other
Enumeration date
03/16/2017
Last updated
09/14/2020
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