Individual
MRS. SHANNON LEE LIBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10405 DOUBLE R BLVD, RENO, NV 89521-8905
(775) 827-2400
(775) 827-2488
Mailing address
194 RIVER FRONT DR, RENO, NV 89523-8952
(775) 747-6751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3007-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507630
—
NV
01
—
1184029464
GROUP NPI
—
Enumeration date
05/17/2006
Last updated
02/21/2023
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