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Individual

SHAUNA L PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6301 19TH AVE NW, MINOT, ND 58703
(701) 858-0115
(701) 852-1190
Mailing address
PO BOX 5007, MINOT, ND 58702-5007
(701) 858-0115
(701) 852-1190

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3984
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74087
ND
Enumeration date
08/17/2007
Last updated
09/11/2007
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