Individual
CHRISTINE ANNA SHAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3612 WHITE ROSE AVE, BURNSVILLE, MN 55337-2402
(651) 492-0561
Mailing address
3612 WHITE ROSE AVE, BURNSVILLE, MN 55337-2402
(651) 492-0561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15592LICSW
MN
Other
Enumeration date
02/07/2007
Last updated
07/21/2022
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