Shannon Waldrup, LMSW

NPI #1174027957 in Athens, Tennessee

Provider Information

NPI Number: 1174027957
Entity Type: Individual
Name: Shannon Waldrup, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Mar 19, 2018
Last Updated: Mar 19, 2018

Practice Location

Address: 404 S WHITE ST
City: Athens
State: Tennessee
ZIP Code: 37303-4732
Phone: (423) 746-0163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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