SHANNON SIDNEY BROOM

JONESBORO, GA
NPI1114639119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: RI  ISW03720)
Enumeration Date2022-12-21
Last Update Date2022-12-21
Business Address
SHANNON SIDNEY BROOM LCSW
630 MILL CREEK TRL
JONESBORO, GA 30238-4122
Phone number: 251-604-1522
Mailing Address
SHANNON SIDNEY BROOM LCSW
630 MILL CREEK TRL
JONESBORO, GA 30238-4122
Phone number: 251-604-1522