Individual
ELIZABETH HENDERSON SHREVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3646 VAN BUREN ST NE, MINNEAPOLIS, MN 55418-1216
(612) 203-8437
Mailing address
3646 VAN BUREN ST NE, MINNEAPOLIS, MN 55418-1216
(612) 203-8437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20314
MN
Other
Enumeration date
03/24/2010
Last updated
07/01/2020
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