Shore, Shannon Gantt

Shore, Shannon Gantt is an individual health care provider with primary practice located at 209 Barium Springs Drive , Statesville NC 28677-6238. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shore, Shannon Gantt can be contacted via phone (704) 873-1011.

Contact Information

Primary practice address
209 Barium Springs Drive Statesville NC 28677-6238
Phone: (704) 873-1011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C007665 North Carolina

Profile Details

NPI number 1386911451
LBN Legal business name Shore, Shannon Gantt
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2011
Last updated May 24th, 2012 - about 14 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