Individual
MRS. SHANNON D. LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 W VINE ST STE B, TOOELE, UT 84074-2185
(435) 241-4920
Mailing address
PO BOX 435, TOOELE, UT 84074-0435
(435) 224-3213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7047395-3502
UT
Other
Enumeration date
09/21/2009
Last updated
11/29/2021
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