Whalio Doctors

NPI 1013404839

Emma Faye Shannon, MSWLICSW

Practitioner Clinical Social Worker Duluth, MN

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
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 25047 (MN)

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.