Individual
SHANNON FATJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
302 HARVEST DR, HAYDEN, CO 81639-5065
(970) 761-8885
Mailing address
PO BOX 1507, HAYDEN, CO 81639-1507
(970) 761-8885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09931257
CO
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
04/15/2026
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