Individual
SHANNON BANE LOZINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, P-LCSW
Contact information
Practice address
201 S SALEM ST, APEX, NC 27502-1824
(919) 303-0377
Mailing address
413 E MAPLE AVE, HOLLY SPRINGS, NC 27540-8548
(919) 538-2466
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P007117
NC
Other
Enumeration date
06/03/2012
Last updated
06/03/2012
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