Individual
SHANNA MARIE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3608 STONYRUN DR, LOUISVILLE, KY 40220-5042
(502) 709-5567
Mailing address
3608 STONYRUN DR, LOUISVILLE, KY 40220-5042
(502) 709-5567
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3845
KY
Other
Enumeration date
08/03/2010
Last updated
03/31/2017
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