Alexis Shock, STUDENT
NPI #1518632520 in East Grand Forks, Minnesota
Provider Information
- NPI Number
- 1518632520
- Entity Type
- Individual
- Name
- Alexis Shock, STUDENT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- STUDENT
- Enumeration Date
- Aug 11, 2021
- Last Updated
- Aug 11, 2021
Practice Location
- Address
- 401 DEMERS AVE
- City
- East Grand Forks
- State
- Minnesota
- ZIP Code
- 56721-1835
- Phone
- (218) 779-0134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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