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Individual

JOHANNA CHOATE SHADOIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1410 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 297-6630
(615) 297-8228
Mailing address
1410 17TH AVE S, NASHVILLE, TN 37212-2804
(615) 297-6630
(615) 297-8228

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
661
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1522905
TN
Enumeration date
06/28/2005
Last updated
10/18/2011
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