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JEFF SHIVELY, LICSW
LICSW
Clinical Social Worker
NPI: 1376782961Individual
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
18053(MN)
Contact & Hours
- Address
- 12805 HIGHWAY 55, SUITE 200
PLYMOUTH, MN 55441 - Phone
- (612) 723-0408
Quick Facts
- NPI
- 1376782961
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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