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1982300117
MICAELA D SHOCKLEY
SAVAGE, MN
NPI
1982300117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-31
Last Update Date
2023-08-25
Business Address
MICAELA D SHOCKLEY LPC
5725 LOFTUS LN
SAVAGE, MN 55378-2717
Phone number: 952-952-6120
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Mailing Address
MICAELA D SHOCKLEY LPC
120 E TRINITY PL
DECATUR, GA 30030-3302
Phone number: 404-378-2300
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