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1073927968
SHELLY GRANT
ST LOUIS PARK, MN
NPI
1073927968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 19593)
Enumeration Date
2014-06-18
Last Update Date
2014-06-18
Business Address
-- SHELLY GRANT LICSW
715 FLORIDA AVE S STE 307
ST LOUIS PARK, MN 55426-1759
Phone number: 952-544-6808
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Mailing Address
-- SHELLY GRANT LICSW
17858 COBBLESTONE WAY
EDEN PRAIRIE, MN 55347-2140
Phone number: 612-327-8326
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