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MRS. SHANNON DENISE HORTON LCSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1053491563

Individual Registrant:
MRS. SHANNON DENISE HORTON LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
49 EAGLE ST  VILONIA, AR 72173-9215 US
Tel: 501-412-4529  Fax: --

Contact information for business:
PO BOX 56050  LITTLE ROCK, AR 72215-6050 US
Tel: 501-661-0720  Fax: --

Registration Information:
NPI: 1053491563
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N104100000XBehavioral Health & Social Service Providers
Social Worker
AR1899-M
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
AR2320-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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