SHANNON E POWELL

ROSEVILLE, MN
NPI1578589511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  4062)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
Ms. SHANNON E POWELL MA LICSW
2445 GALTIER ST
ROSEVILLE, MN 55113
Phone number: 651-636-1246
Mailing Address
Ms. SHANNON E POWELL MA LICSW
2445 GALTIER ST
ROSEVILLE, MN 55113
Phone number: 651-636-1246