Individual
SHANNON DURICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1661 PARK RIDGE DR, CHASKA, MN 55318-2841
(952) 403-3980
Mailing address
427 2ND ST SW, DELANO, MN 55328-2823
(763) 390-0369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6366
MN
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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