NPI 1013404839
Emma Faye Shannon, MSWLICSW
Practice location
- Address
- 1502 London Rd STE 205, Duluth, MN 55812-1788
- Phone
- (612) 234-4689
- Fax
- (612) 234-4689
- Mailing address
- PO Box 51, Victoria, MN 55386-0051
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1013404839
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Apr 2018
- Record last updated
- 10 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.