Individual
MS. SHANNON MAUREEN WINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1499 SHELBY CIR, HIXSON, TN 37343-3939
(931) 200-4389
Mailing address
1499 SHELBY CIR, HIXSON, TN 37343-3939
(931) 200-4389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000005561
TN
Other
Enumeration date
05/11/2012
Last updated
06/11/2024
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