MS. SHANNON POWELL, MA LICSW

Social Worker - Clinical

Active Individual
NPI: 1578589511

Practice Address

2445 GALTIER ST
Roseville, MN 55113

Phone: (651) 636-1246

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 4062 (MN)

Frequently Asked Questions

NPI 1578589511 is the National Provider Identifier for MS. SHANNON POWELL, MA LICSW, a Social Worker - Clinical provider located in Roseville, MN. This NPI was enumerated on July 14, 2006.
MS. SHANNON POWELL, MA LICSW practices at 2445 GALTIER ST, Roseville, MN 55113.

Quick Facts

NPI
1578589511
Type
Individual
Enumerated
Jul 14, 2006
Last Updated
Jul 8, 2007

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