MS. SHELLY GREEN, MSW LICSW

Social Worker

Active Individual
NPI: 1578590568

Practice Address

7757 LAMONT AVE NE
Otsego, MN 55301

Phone: (612) 616-8401

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 16068 (MN)

Frequently Asked Questions

NPI 1578590568 is the National Provider Identifier for MS. SHELLY GREEN, MSW LICSW, a Social Worker provider located in Otsego, MN. This NPI was enumerated on June 27, 2006.
MS. SHELLY GREEN, MSW LICSW practices at 7757 LAMONT AVE NE, Otsego, MN 55301.

Quick Facts

NPI
1578590568
Type
Individual
Enumerated
Jun 27, 2006
Last Updated
Sep 30, 2011

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