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Individual

DR. SHANNON G MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D, LCSW

Contact information

Practice address
39350 QUAIL CREEK AVE, PRAIRIEVILLE, LA 70769-4835
(225) 614-0388
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(225) 431-2711

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7292
LA

Other

Enumeration date
01/22/2024
Last updated
07/22/2025
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