Individual
MS. SHANNON RAE RECUPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 W HOSPITAL RD, ROOM 13A-10, FORT GORDON, GA 30905-5741
(706) 787-9054
(706) 787-8991
Mailing address
300 E HOSPITAL RD, ROOM 13A-10, FORT GORDON, GA 30905-5650
(706) 787-9054
(706) 787-8991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003777
GA
Other
Enumeration date
09/20/2007
Last updated
04/01/2024
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