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General NPI Number Information
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NPI Number | 1831880608
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Entity Type | Organization
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Legal Business Name | SHANNON BARROWS LCSW PLLC
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 1612 MAIN ST UNIT 2
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City | PLEASANT VALLEY
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State | NY
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Zip | 12569-7047
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Country | US
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Telephone | 845-366-9170
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Fax |
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Provider Business Mailing Address
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Address Line | 108 DEER RIDGE DR
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City | STAATSBURG
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State | NY
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Zip | 12580-5755
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Country | US
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Telephone | 845-366-9170
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Fax |
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Authorized Official
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Title or Position | OWNER/LCSW
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Name | SHANNON BARROWS
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Credential | LCSW
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Telephone | 845-366-9170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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