Individual
MR. PATRICK MICHAEL SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1428 N STATE HIGHWAY 47, WARRENTON, MO 63383-1375
(636) 359-6445
Mailing address
2317 DONNA MARIA DR APT 101, WARRENTON, MO 63383-3299
(314) 578-3524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000602
MO
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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