NPI 1053753848

Shannon Charles, MSW

Practitioner Social Worker Lake City, FL

Practice location

Address: 619 S Marion Ave, Lake City, FL 32025-5808
Phone: (973) 941-8322
Mailing address: 507 NW 39th Rd #309, Gainesville, FL 32607-2322

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 44SL05652700 (NJ)

Other Social Worker providers in Florida →

Registry record

NPI: 1053753848
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2013
Record last updated: 9 Dec 2014

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.