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Individual

SHANNON M SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
4101 HARRIET AVE, MINNEAPOLIS, MN 55409-1442
(612) 827-2631
Mailing address
10930 QUINN AVE S, BLOOMINGTON, MN 55437-3044
(612) 827-2631

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2947
MN

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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