Search › Minnesota › 177F00000X
Shannon Tabaka, SW
NPI 1992680615 · on the registry since 2025 · sole proprietor
Practice
- Address
- 12714 Fremont Ave
Zimmerman, MN 55398 - Phone
- (763) 732-2065
- Organisation at this address
- Empowered Recovery Solutions 'Life After' Recovery Residence
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 177F00000X
177F00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota