SHANNON DOLAN
Social Worker - Clinical
Active
Individual
NPI: 1003556135
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149024396 (IL) |
Frequently Asked Questions
NPI 1003556135 is the National Provider Identifier for SHANNON DOLAN, a Social Worker - Clinical provider located in Peoria, IL. This NPI was enumerated on March 29, 2022.
SHANNON DOLAN practices at 7717 N ORANGE PRAIRIE RD, Peoria, IL 61615.
Quick Facts
- NPI
- 1003556135
- Type
- Individual
- Enumerated
- Mar 29, 2022
- Last Updated
- Mar 29, 2022
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