Individual
ANNE MARIE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8634
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8634
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP1615
MN
1041C0700X
Clinical Social Worker
Primary
8051
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
973353100
—
MN
Enumeration date
11/20/2006
Last updated
09/28/2016
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