SHELLEY LEE FOSSUM

SAINT CLOUD, MN
NPI1619130325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  16251)
Enumeration Date2008-07-03
Last Update Date2025-01-29
Business Address
MS. SHELLEY LEE FOSSUM LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6480
Mailing Address
MS. SHELLEY LEE FOSSUM LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6480
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