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Individual
SHANNON SKAHAN
Active
Individual
SHANNON SKAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150015772
IL
1041C0700X
Clinical Social Worker
Primary
CW020571
PA
Other
Enumeration date
08/31/2015
Last updated
05/23/2019
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