Individual
SHELLEY GUIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1401 8TH ST S, MOORHEAD, MN 56560-3605
(218) 451-4811
(218) 451-4840
Mailing address
19019 7TH AVE S, HAWLEY, MN 56549-9063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0800
MN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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