Individual
SHANE O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1607 51ST AVE N, MINNEAPOLIS, MN 55430-3433
(612) 668-1640
Mailing address
1607 51ST AVE N, MINNEAPOLIS, MN 55430-3433
(612) 668-1640
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
31123
MN
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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