Shawn Rae Disterhaupt
Shawn Rae Disterhaupt is a Clinical Social Worker in Brainerd, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.
- Licensed in
- MN
- In the registry since
- 2023
Practice location Address checks out
606 Frnt STBrainerd, MN 56401-3602
Phone: (218) 232-6247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 26111 (MN) |
|---|
Record details
| NPI number | 1942996087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 12, 2023 |
| Last updated in NPPES | April 12, 2023 |
| Certification date | April 12, 2023 |
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Christina Newell
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-
Tori P Clark, LICSW
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-
Andrea Lee Dalzell, MSW, LICSW
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-
Tammy Lynn Derosier
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-
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-
Shae Edgerton
823 Maple St, Brainerd, MN 56401-3770 · (218) 454-3826
-
Colleen Elizabeth Erickson, LICSW
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-
Kristy June Farley, MSW, LICSW
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