Jeff William Shively, LICSW
NPI #1376782961 in Plymouth, Minnesota
Provider Information
- NPI Number
- 1376782961
- Entity Type
- Individual
- Name
- Jeff William Shively, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Feb 5, 2009
- Last Updated
- Mar 5, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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