Individual
MS. CONNIE ANN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
20915 CALWOOD ST, SAUGUS, CA 91350-1825
(661) 212-1750
(661) 513-0698
Mailing address
20915 CALWOOD ST, SAUGUS, CA 91350-1825
(661) 212-1750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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