Most Relevant Information
Provider Data
| NPI Number: | 1003283474 |
| Provider Name: | SHANNON GERARD |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/01/2015 |
| Last Updated: | 12/06/2020 |
Provider Practice Location
350 N CATTLEMEN RD APT 306
SARASOTA
FL
342326464
Practice Location Phone/Fax
| Phone: | 9413563656 |
| Fax: |
Provider Mailing Location
350 N CATTLEMEN RD APT 306
SARASOTA
FL
342326464
Provider Mailing Phone/Fax
| Phone: | 9413563656 |
| Fax: |