Charles, Shannon

Charles, Shannon is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Charles, Shannon can be contacted via phone (973) 941-8322.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (973) 941-8322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05652700 New Jersey

Profile Details

NPI number 1053753848
LBN Legal business name Charles, Shannon
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2013
Last updated Dec 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers