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1578589511
SHANNON E POWELL
ROSEVILLE, MN
NPI
1578589511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 4062)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Ms. SHANNON E POWELL MA LICSW
2445 GALTIER ST
ROSEVILLE, MN 55113
Phone number: 651-636-1246
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Mailing Address
Ms. SHANNON E POWELL MA LICSW
2445 GALTIER ST
ROSEVILLE, MN 55113
Phone number: 651-636-1246
Copy
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