Individual
MR. JOHN GERARD SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
21601 76TH AVE W FL 1, EDMONDS, WA 98026-7507
(206) 940-2017
Mailing address
21601 76TH AVE W FL 1, EDMONDS, WA 98026-7507
(206) 940-2017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009627
WA
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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