MR. John Gerard Shannon, LICSW
NPI #1164258521 in Edmonds, Washington
Provider Information
- NPI Number
- 1164258521
- Entity Type
- Individual
- Name
- MR. John Gerard Shannon, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 12, 2024
- Last Updated
- Sep 12, 2024
Practice Location
- Address
- 21601 76TH AVE W FL 1
- City
- Edmonds
- State
- Washington
- ZIP Code
- 98026-7507
- Phone
- (206) 940-2017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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