Individual
SHAWN DYLAN DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
410 GOLDSMITH AVE, MAMMOTH SPRING, AR 72554-8045
(417) 280-1247
(870) 341-6242
Mailing address
10282 PRIVATE ROAD 8829, WEST PLAINS, MO 65775-9400
(417) 280-1247
(870) 341-6242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
AR
1041C0700X
Clinical Social Worker
Primary
8780-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232264719
—
AR
Enumeration date
07/25/2018
Last updated
03/25/2024
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