Elliot Shively
Elliot Shively is a Social Worker in Minnetonka, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
10505 Wayzata Blvd Ste 203-3Minnetonka, MN 55305-1502
Phone: (952) 222-7936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1871378737 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | September 7, 2023 |
| Certification date | September 7, 2023 |
| Mailing address | 2043 Utah Ave S, St Louis Park, MN 55426-2401 |
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