Individual
CODY JOSEPH SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
101 21ST ST SE STE 1, AUSTIN, MN 55912-4322
(507) 437-6389
(507) 437-0977
Mailing address
101 21ST ST SE STE 1, AUSTIN, MN 55912-4322
(507) 437-6389
(507) 437-0977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22487
MN
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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