Shannon Theus, LISW

NPI #1891329264 in Berea, Ohio

Provider Information

NPI Number: 1891329264
Entity Type: Individual
Name: Shannon Theus, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Feb 25, 2020
Last Updated: Feb 25, 2020

Practice Location

Address: 429 FRONT ST
City: Berea
State: Ohio
ZIP Code: 44017-1716
Phone: (440) 234-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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