SHANE RUSSELL

MINNEAPOLIS, MN
NPI1164303046
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  28620)
Enumeration Date2025-09-09
Last Update Date2025-10-24
Business Address
-- SHANE RUSSELL LICSW
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-273-6440
Mailing Address
-- SHANE RUSSELL LICSW
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-273-6440
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