Individual
SHANNON WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3542 MONTGOMERY HWY, DOTHAN, AL 36303-2165
(334) 803-8667
Mailing address
PO BOX 1245, DOTHAN, AL 36302-1245
(334) 803-8667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3893C
AL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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