Individual
MICHAEL ROBERT SCHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LP
Contact information
Practice address
120 LABREE AVE SOUTH, THIEF RIVER FALLS, MN 56701-2819
(218) 681-4240
(651) 645-3534
Mailing address
120 LABREE AVE SOUTH, THIEF RIVER FALLS, MN 56701-2819
(218) 681-4240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0847
MN
Other
Enumeration date
01/25/2008
Last updated
09/13/2012
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