Davis Shannon, MSW
NPI #1265985170 in Bloomington, Illinois
Provider Information
- NPI Number
- 1265985170
- Entity Type
- Individual
- Name
- Davis Shannon, MSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- MSW
- Enumeration Date
- Jul 27, 2016
- Last Updated
- Jul 27, 2016
Practice Location
- Address
- 702 W CHESTNUT ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-2814
- Phone
- (309) 557-1449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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