SHANNON NICOLE FAIN

HENDERSON, NC
NPI1770922619
Former NameSHANNON NICOLE JORDAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P007691)
Enumeration Date2013-06-24
Last Update Date2013-06-24
Business Address
Mrs. SHANNON NICOLE FAIN
200 W PARKVIEW DR SUITE A
HENDERSON, NC 27536-5958
Phone number: 252-572-2663
Mailing Address
Mrs. SHANNON NICOLE FAIN
4748 COURTNEY LN APT. H
RALEIGH, NC 27616-5248
Phone number: 919-931-3327