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Individual

MR. CARL FRANK SHASKEY-SETRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W., L.I.C.S.W.

Contact information

Practice address
1804 BROADWAY ST, STE. 170, ALEXANDRIA, MN 56308-2718
(320) 762-5124
(320) 762-2422
Mailing address
1804 BROADWAY ST, STE. 170, ALEXANDRIA, MN 56308-2718
(320) 762-5124
(320) 762-2422

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3590
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71052900WW
MN
01
H237SE-WW
BLUE CROSS
MN
Enumeration date
06/01/2007
Last updated
07/08/2007
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