Individual
HOLLY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 9TH ST, CORALVILLE, IA 52241-1575
(515) 450-8913
Mailing address
2240 9TH ST, CORALVILLE, IA 52241-1575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
12/29/2023
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