Shianne Marie Judge

NPI #1316693385 in Excelsior, Minnesota

Provider Information

NPI Number: 1316693385
Entity Type: Individual
Name: Shianne Marie Judge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 28, 2022
Last Updated: Feb 28, 2022

Practice Location

Address: 355 2ND ST
City: Excelsior
State: Minnesota
ZIP Code: 55331-2059
Phone: (952) 474-0227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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