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Individual
MS. JANIS A SHANNON
Active
Individual
MS. JANIS A SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
074605-1
NY
1041C0700X
Clinical Social Worker
Primary
SW0084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z02HZ
BCBS PROVIDER NUMBER
FL
Enumeration date
03/09/2007
Last updated
09/15/2011
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