Individual
SHANNON LEE GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 N MAIN ST, GREENWOOD, AR 72936-7031
(479) 996-1414
Mailing address
PO BOX 3023, GREENWOOD, AR 72936-3020
(479) 996-1414
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1953-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y546
BLUE CROSS
AR
Enumeration date
07/06/2006
Last updated
07/24/2008
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