Individual
SHANNON LYNN SORINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1909 S 10TH AVE, CALDWELL, ID 83605-4842
(208) 409-7286
(208) 287-9426
Mailing address
4238 S DRACO CT, NAMPA, ID 83686-6489
(208) 409-7286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-30968
ID
Other
Enumeration date
10/26/2009
Last updated
01/14/2013
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