Most Relevant Information
Provider Data
| NPI Number: | 1003691056 |
| Provider Name: | SHANNON MARIE NELSON LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SW140500 |
Most Important Dates
| Enumeration Date: | 08/29/2023 |
| Last Updated: | 08/29/2023 |
Provider Practice Location
705 WASHINGTON BLVD STE 100
WILLIAMSPORT
PA
177015355
Practice Location Phone/Fax
| Phone: | 5703216390 |
| Fax: |
Provider Mailing Location
32 HILLCREST LN
WILLIAMSPORT
PA
177019603
Provider Mailing Phone/Fax
| Phone: | 4847889775 |
| Fax: |