Individual
SHELLY L GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W NORFOLK AVE STE 200, NORFOLK, NE 68701-5006
(402) 370-3140
Mailing address
900 W NORFOLK AVE STE 200, NORFOLK, NE 68701-5006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11805
NE
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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