Shannon Fatjo, LSW

NPI #1194565457 in Hayden, Colorado

Provider Information

NPI Number: 1194565457
Entity Type: Individual
Name: Shannon Fatjo, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: May 24, 2024
Last Updated: May 24, 2024

Practice Location

Address: 302 HARVEST DR
City: Hayden
State: Colorado
ZIP Code: 81639-5065
Phone: (970) 761-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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