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1356907026
SHANNON G LACKNER
SAINT PAUL, MN
NPI
1356907026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 2993)
Enumeration Date
2019-05-17
Last Update Date
2023-02-20
Business Address
SHANNON G LACKNER
1554 MIDWAY PKWY APT 448
SAINT PAUL, MN 55108-2464
Phone number: 218-639-2150
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Mailing Address
SHANNON G LACKNER
6381 OSGOOD AVE N BLDG C
STILLWATER, MN 55082-6118
Phone number: 651-560-5275
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