Individual
SHANNON WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LISW, LCSW
Contact information
Practice address
322 E 15TH ST, DAVENPORT, IA 52803-4408
(563) 320-7877
Mailing address
322 E 15TH ST, DAVENPORT, IA 52803-4408
(563) 320-7877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
082032
IA
104100000X
Social Worker
Primary
082032
IA
Other
Enumeration date
08/31/2016
Last updated
02/16/2023
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