Shawn Rae Disterhaupt
NPI #1942996087 in Brainerd, Minnesota
Provider Information
- NPI Number
- 1942996087
- Entity Type
- Individual
- Name
- Shawn Rae Disterhaupt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 12, 2023
- Last Updated
- Apr 12, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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