Individual
MS. CAROLYN JEAN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
300 W BROADWAY, SUITE 223, COUNCIL BLUFFS, IA 51503-9045
(712) 328-3086
(712) 328-1346
Mailing address
300 W BROADWAY, SUITE 223, COUNCIL BLUFFS, IA 51503-9045
(712) 328-3086
(712) 328-1346
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05910
IA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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