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Organization
SHELLEY ANN SHAFFER
Active
Organization
SHELLEY ANN SHAFFER
Active
Other names
Shaffer Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY A SHAFFER (OWNER)
(218) 380-0175
Entity
Organization
Contact information
Practice address
501 ARROWHEAD LN, MOOSE LAKE, MN 55767-7707
(218) 380-0175
(218) 485-9105
Mailing address
PO BOX 463, MOOSE LAKE, MN 55767-0463
(218) 380-0175
(218) 485-9105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/07/2020
Last updated
03/01/2021
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