Individual
SHELLY MELROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 TWELVE OAKS CENTER DR STE 700, WAYZATA, MN 55391-4405
(612) 518-5682
Mailing address
1120 TOWN CENTRE DR APT 12, EAGAN, MN 55123-2321
(612) 518-5682
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3859
MN
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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