JEFF SHIVELY, MSW, LICSW

PLYMOUTH, MN
NPI1366874299
Entity TypeOrganization
Authorized ContactJEFF W SHIVELY
President
612-723-0408
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  18053)
Enumeration Date2013-08-02
Last Update Date2013-08-03
Business Address
JEFF SHIVELY, MSW, LICSW
12805 HIGHWAY 55 SUITE 200
PLYMOUTH, MN 55441-3880
Phone number: 612-723-0408
Mailing Address
JEFF SHIVELY, MSW, LICSW
12805 HIGHWAY 55 SUITE 200
PLYMOUTH, MN 55441-3880
Phone number: 612-723-0408
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