Individual
SHANNON LEE KELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(541) 682-7557
Mailing address
640 C ST, SPRINGFIELD, OR 97477-4666
(541) 687-7295
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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