SANDRA SHANNON, LCSW
Social Worker - Clinical
Active
Individual
NPI: 1790473676
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker - Clinical | 1041C0700X | Yes | 149.028987 (IL) |
Frequently Asked Questions
NPI 1790473676 is the National Provider Identifier for SANDRA SHANNON, LCSW, a Social Worker - Clinical provider located in Champaign, IL. This NPI was enumerated on April 27, 2023.
SANDRA SHANNON, LCSW practices at 301 N NEIL ST, Champaign, IL 61820.
Quick Facts
- NPI
- 1790473676
- Type
- Individual
- Enumerated
- Apr 27, 2023
- Last Updated
- Jun 11, 2025
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