Individual
CHARLIE SHANNON DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
292 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 663-3737
(419) 663-5096
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.1701723
OH
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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