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Organization

SANDRA SHALLCROSS PHD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA SHALLCROSS PHD (PSYCHOLOGIST)
(612) 524-8119
Entity
Organization

Contact information

Practice address
211 N 1ST ST, STE 430, MINNEAPOLIS, MN 55401-1480
(612) 524-8119
Mailing address
211 N 1ST ST, STE 430, MINNEAPOLIS, MN 55401-1480
(612) 524-8119

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP5803
MN

Other

Enumeration date
03/13/2017
Last updated
03/13/2017
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