Individual
CHELSEA EDITH SHEASBY CRIVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 BOONE AVE N, NEW HOPE, MN 55428-3636
(763) 515-2469
Mailing address
5555 BOONE AVE N, NEW HOPE, MN 55428-3636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21698
MN
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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