Individual
SHANNON DARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
510 BUTLER AVE RM 6B123, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 264-3989
Mailing address
510 BUTLER AVE RM 6B123, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 264-3989
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00943196
WV
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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