Individual
SHANNON AYRES FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 N MARKET STREET EXT, SEAFORD, DE 19973-1573
(302) 536-5667
(855) 422-7169
Mailing address
400 N MARKET STREET EXT, SEAFORD, DE 19973-1573
(302) 536-5667
(855) 422-7169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001405
DE
Other
Enumeration date
03/10/2016
Last updated
08/30/2016
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