Shanon Rae Ross, LMSW

NPI #1740951961 in Longview, Texas

Provider Information

NPI Number: 1740951961
Entity Type: Individual
Name: Shanon Rae Ross, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Sep 27, 2021
Last Updated: Sep 27, 2021

Practice Location

Address: 100 W HAWKINS PKWY
City: Longview
State: Texas
ZIP Code: 75605-1816
Phone: (903) 663-3310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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