Shelly Grant, LICSW
NPI #1073927968 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1073927968
- Entity Type
- Individual
- Name
- Shelly Grant, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jun 18, 2014
- Last Updated
- Jun 18, 2014
Practice Location
- Address
- 715 FLORIDA AVE S STE 307
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-1759
- Phone
- (952) 544-6808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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