SHANNON BREITKREUTZ

MONTICELLO, MN
NPI1538404736
Former NameSHANNON ROMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MN  LP3496)
Enumeration Date2012-11-29
Last Update Date2012-11-29
Business Address
-- SHANNON BREITKREUTZ L.P.
107 CEDAR ST SUITE 7
MONTICELLO, MN 55362-4504
Phone number: 763-732-3351
Mailing Address
-- SHANNON BREITKREUTZ L.P.
21530 201ST ST NW
BIG LAKE, MN 55309-8118
Phone number: 763-772-5382