Individual
MS. SHANNON M. STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904006722
VA
1041C0700X
Clinical Social Worker
LC303534
DC
1041S0200X
School Social Worker
Primary
PPS-0604180
VA
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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