SHANNON ELAINE PARK

MEDFORD, OR
NPI1194851808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3339)
Enumeration Date2007-02-26
Last Update Date2012-08-13
Business Address
Ms. SHANNON ELAINE PARK LCSW
145 S, HOLLY STREET SUITE A
MEDFORD, OR 97501-3101
Phone number: 541-773-5664
Mailing Address
Ms. SHANNON ELAINE PARK LCSW
145 S, HOLLY STREET SUITE A
MEDFORD, OR 97501-3101
Phone number: 541-773-5664
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