Individual
SHAWNA JO WIPPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRP
Contact information
Practice address
1021 INDUSTRIAL PARK RD SW, BRAINERD, MN 56401-8338
(218) 829-7599
(218) 829-7498
Mailing address
1021 INDUSTRIAL PARK RD SW, BRAINERD, MN 56401-8338
(218) 829-7599
(218) 829-7498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4911780
MN
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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