Individual
SHANNA VAN DUZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
7041 20TH AVE, CENTERVILLE, MN 55038-9737
(651) 407-3631
Mailing address
7041 20TH AVE, CENTERVILLE, MN 55038-9737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02307
MN
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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