BRENDAN C SHANE

GOLDEN VALLEY, MN
NPI1720326440
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  13192)
Enumeration Date2013-01-30
Last Update Date2013-01-30
Business Address
-- BRENDAN C SHANE MSW, LICSW
7575 GOLDEN VALLEY RD
GOLDEN VALLEY, MN 55427-4562
Phone number: 952-334-9390
Mailing Address
-- BRENDAN C SHANE MSW, LICSW
6513 CREEK DR
EDINA, MN 55439-1207
Phone number: 952-983-0216