Individual
SHANNON KATHELEEN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5330 EDNA CRANE AVE, NORTH LAS VEGAS, NV 89031-7989
(702) 741-1111
Mailing address
5330 EDNA CRANE AVE, NORTH LAS VEGAS, NV 89031-7989
(702) 741-1111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7911-M
NV
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/08/2010
Last updated
05/31/2024
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