Individual
JOLYNNE Z SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1142 HARVEST DR, LEBANON, PA 17046-1574
(717) 269-6451
Mailing address
1142 HARVEST DR, LEBANON, PA 17046-1574
(717) 269-6451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018509
PA
Other
Enumeration date
05/08/2016
Last updated
12/16/2021
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