Individual
MS. SHANNON G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
113 CHAPLIN DR, LAFAYETTE, LA 70508-2101
(337) 521-7000
Mailing address
219 ANNUNCIATION ST, LAFAYETTE, LA 70508-6027
(337) 991-9507
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
4278
LA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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