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NPI Code Detail

MEDICARE: SHANNON MICHELLE HAMRICK LCSW

MEDICARE: SHANNON MICHELLE HAMRICK LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker34805TX

General Provider Information

NPI Number : 1942316120
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MICHELLE HAMRICK LCSW
Provider Business Mailing Address
First Line : 4305 MACARTHUR AVE
Second Line :
City : DALLAS
State : TX
Zip : 75209-6511
Country : US
Telephone Number : 214-526-4525
Fax Number : 214-520-6468
Provider Business Practice Location Address
First Line : 4305 MACARTHUR AVE
Second Line :
City : DALLAS
State : TX
Zip : 75209-6511
Country : US
Telephone Number : 214-526-4525
Fax Number : 214-520-6468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 05/09/2023

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Directions to “ SHANNON MICHELLE HAMRICK LCSW” Practice Location

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