Individual
SHANNON JOSEPH-VALENTINO GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 YAUGER WAY SW, OLYMPIA, WA 98502-8660
(360) 878-8248
Mailing address
2260 DIVISION ST NW APT 7A, OLYMPIA, WA 98502-4277
(360) 464-0590
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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