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Individual

MR. SHAWN C DENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
275 MAIN ST, MAMMOTH SPRING, AR 72554
(417) 259-2452
(417) 322-6099
Mailing address
PO BOX 117, THAYER, MO 65791-0117
(417) 259-2452
(417) 322-6099

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2428-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178890795
AR
05
227659719
AR
01
5R661
BCBS
AR
Enumeration date
11/19/2009
Last updated
11/28/2023
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