Individual
MS. SHANNON MARIE NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2552 SGT ALFRED DR, SLIDELL, LA 70458-4010
(985) 646-4921
(985) 646-4965
Mailing address
2552 SGT ALFRED DR, SLIDELL, LA 70458-4010
(985) 646-4921
(985) 646-4965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2059
LCSW
LA
Enumeration date
09/01/2022
Last updated
09/01/2022
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