Individual
MRS. CONNIE DENISE SHANNON-EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW, MSW
Contact information
Practice address
4304 OSHA ST, PALM BEACH GARDENS, FL 33410-5962
(561) 630-6564
Mailing address
4304 OSHA ST, PALM BEACH GARDENS, FL 33410-5962
(561) 630-6564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 5467
FL
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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