Individual
SHANNON RYAN NOTTINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1118 S MAIN ST STE 2, MORGANTOWN, KY 42261-9409
(270) 288-5036
(270) 288-5082
Mailing address
1118 S MAIN ST STE 2, MORGANTOWN, KY 42261-9409
(270) 288-5036
(270) 288-5082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30605018
—
KY
Enumeration date
02/14/2007
Last updated
10/14/2024
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