CARLIE SHANNON

DAVENPORT, IA
NPI1669070777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IA  091279)
Enumeration Date2020-10-12
Last Update Date2020-10-12
Business Address
CARLIE SHANNON LISW
736 FEDERAL ST., STE. 1-103
DAVENPORT, IA 52803-5768
Phone number: 309-684-3212
Mailing Address
CARLIE SHANNON LISW
736 FEDERAL ST., STE. 1-103
DAVENPORT, IA 52803-5768
Phone number: 309-684-3212
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