Individual
MR. EDWARD JOHN SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
216 N PRATT AVE, CARSON CITY, NV 89701-4722
(775) 450-3013
Mailing address
3488 ZURICH CT, CARSON CITY, NV 89705-7020
(702) 336-4345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7227-S
NV
1041C0700X
Clinical Social Worker
Primary
9082-C
NV
Other
Enumeration date
03/16/2017
Last updated
03/18/2022
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