Shannon M Anderson

NPI #1053043398 in Green Bay, Wisconsin

Provider Information

NPI Number: 1053043398
Entity Type: Individual
Name: Shannon M Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: 1499 6TH ST
City: Green Bay
State: Wisconsin
ZIP Code: 54304-2252
Phone: (920) 497-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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