Organization
SHANNON'S SOCIAL WORK SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON L THILL LCSW (CEO)
(954) 296-4120
Entity
Organization
Contact information
Practice address
9395 LAKE SERENA DR, BOCA RATON, FL 33496-6509
(954) 296-4120
Mailing address
9395 LAKE SERENA DR, BOCA RATON, FL 33496-6509
(954) 296-4120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW9726
FL
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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