Individual
SHANNON HANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 MALLARD CT, BECKLEY, WV 25801-3664
(304) 252-8409
(304) 252-0022
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00945640
WV
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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