Individual
MISS SHANNON LEIGH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 S CHURCH ST STE 103, JONESBORO, AR 72401-4154
(870) 277-4357
(870) 292-3603
Mailing address
800 S CHURCH ST STE 103, JONESBORO, AR 72401-4154
(870) 277-4357
(870) 292-3603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7953-C
AR
Other
Enumeration date
01/14/2011
Last updated
02/18/2020
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