| Sharon Davern Msed, Lp, Lmft, Llc | |
|
1001 14th St Nw Rochester MN 55901-2590 | |
| (507) 534-2668 | |
| (507) 540-1290 |
| Full Name | Sharon Davern Msed, Lp, Lmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1001 14th St Nw, Rochester, Minnesota |
| Authorized Official Name and Position | Sharon Davern (OWNER) |
| Authorized Official Contact | 5075342668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Davern Msed, Lp, Lmft, Llc Po Box 193 Mantorville MN 55955-0193 Ph: (507) 259-0206 | Sharon Davern Msed, Lp, Lmft, Llc 1001 14th St Nw Rochester MN 55901-2590 Ph: (507) 534-2668 |
| NPI Number | 1255854568 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 04/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255854568 | NPI | - | NPPES |
| 1946230 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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