Individual
SHANNON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1246 OSSA ST, HENDERSON, NV 89052-8774
(312) 498-0965
Mailing address
1246 OSSA ST, HENDERSON, NV 89052-8774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8740-C
NV
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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