Doctor Name: | SHANNON B NORRIS |
NPI Number: | 1003196189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 11344 |
Business Practice Address: | 10410 Plank Rd Clinton, LA - 707223710 |
Business Phone Number: | 2256838877 |
Business Fax Number: | 2256831349 |
Mailing Address: | Po Box 395, CLINTON |
State: | LA |
Postal Code: | 707220395 |
Phone Number: | 2256835292 |
Fax Number: | 2256833411 |
NPI Enumeration Date: | 08/22/2011 |
NPI Last Update Date: | 08/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 11344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |