Most Relevant Information
Provider Data
| NPI Number: | 1003417478 |
| Provider Name: | SHANNON GIOVANNA DOSS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 103419 |
Most Important Dates
| Enumeration Date: | 11/03/2020 |
| Last Updated: | 06/21/2023 |
Provider Practice Location
3736 PALM AVE
LYNWOOD
CA
902625103
Practice Location Phone/Fax
| Phone: | 4242322795 |
| Fax: |
Provider Mailing Location
PO BOX 1794
LYNWOOD
CA
902621294
Provider Mailing Phone/Fax
| Phone: | 4242322795 |
| Fax: |