Kathleen Marie Shannon, LISW

NPI #1225137219 in Boardman, Ohio

Provider Information

NPI Number: 1225137219
Entity Type: Individual
Name: Kathleen Marie Shannon, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW
Enumeration Date: Sep 22, 2006
Last Updated: Sep 3, 2020

Practice Location

Address: 930 TRAILWOOD DR
City: Boardman
State: Ohio
ZIP Code: 44512-5007
Phone: (513) 834-7063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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