Individual
SHANNON JEANNE MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 E. COEUR D'ALENE AVE, COEUR D ALENE, ID 83814-3145
(208) 651-6501
Mailing address
PO BOX 139, COEUR D ALENE, ID 83816-0139
(208) 651-6501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-34346
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-34346
STATE LICENSURE
ID
Enumeration date
10/02/2007
Last updated
02/16/2016
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