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Individual

MRS. SHANNON DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
126 ENTERPRISE PATH STE 201, HIRAM, GA 30141-2654
(678) 682-0405
Mailing address
67 TRACE CHAIN CT, HIRAM, GA 30141-3919
(678) 682-0405

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008497
GA

Other

Enumeration date
03/03/2023
Last updated
03/03/2023
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