Individual
DAWN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1228 ASHLEY CIR STE 5, BOWLING GREEN, KY 42104-5803
(270) 495-1222
(859) 209-6504
Mailing address
6002 WOODHAVEN PLACE CIR, LOUISVILLE, KY 40228-2809
(502) 876-4208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6404
KY
1041C0700X
Clinical Social Worker
Primary
6404
KY
Other
Enumeration date
04/01/2022
Last updated
04/05/2022
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