Shanna Clayson, LSW

NPI #1154731529 in Blackfoot, Idaho

Provider Information

NPI Number: 1154731529
Entity Type: Individual
Name: Shanna Clayson, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 6, 2014
Last Updated: May 6, 2014

Practice Location

Address: 150 S BROADWAY ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-2711
Phone: (208) 785-1326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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