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Shelly Green, MSW LICSW

NPI 1578590568 · on the registry since 2006

Practice

Address
7757 Lamont Ave Ne
Otsego, MN 55301
Phone
(612) 616-8401

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota