Individual
LINDA LEANN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18620 FALLS CITY RD, DALLAS, OR 97338-9498
(503) 373-4908
(503) 391-7422
Mailing address
18620 FALLS CITY RD, DALLAS, OR 97338-9498
(503) 373-4908
(503) 391-7422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3850656
OR
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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