JEFF SHIVELY, LICSW

Social Worker - Clinical

Active Individual
NPI: 1376782961

Practice Address

12805 HIGHWAY 55
SUITE 200
Plymouth, MN 55441

Phone: (612) 723-0408

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 18053 (MN)

Frequently Asked Questions

NPI 1376782961 is the National Provider Identifier for JEFF SHIVELY, LICSW, a Social Worker - Clinical provider located in Plymouth, MN. This NPI was enumerated on February 5, 2009.
JEFF SHIVELY, LICSW practices at 12805 HIGHWAY 55, SUITE 200, Plymouth, MN 55441.

Quick Facts

NPI
1376782961
Type
Individual
Enumerated
Feb 5, 2009
Last Updated
Mar 5, 2013

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