CARLIE SHANNON, LISW

Social Worker - Clinical

Active Individual
NPI: 1669070777

Practice Address

736 FEDERAL ST., STE. 1-103
Davenport, IA 52803

Phone: (309) 684-3212

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 091279 (IA)

Frequently Asked Questions

NPI 1669070777 is the National Provider Identifier for CARLIE SHANNON, LISW, a Social Worker - Clinical provider located in Davenport, IA. This NPI was enumerated on October 12, 2020.
CARLIE SHANNON, LISW practices at 736 FEDERAL ST., STE. 1-103, Davenport, IA 52803.

Quick Facts

NPI
1669070777
Type
Individual
Enumerated
Oct 12, 2020
Last Updated
Oct 12, 2020

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