Individual
SHAWNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
925 12TH ST E, GLENCOE, MN 55336-2336
(952) 361-9700
(320) 864-6130
Mailing address
925 12TH ST E, GLENCOE, MN 55336-2336
(952) 361-9700
(320) 864-6130
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2677
MN
Other
Enumeration date
03/13/2015
Last updated
04/16/2018
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