Individual
MERRILY SHIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14949 62ND ST N, STILLWATER, MN 55082-6102
(651) 275-7400
Mailing address
14949 62ND ST N, STILLWATER, MN 55082-6102
(651) 275-7400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01830
MN
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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