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MRS. SHANNON DENISE HORTON LCSW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1053491563
Individual Registrant:MRS. SHANNON DENISE HORTON LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
49 EAGLE ST VILONIA, AR 72173-9215 US
Tel: 501-412-4529 Fax: --
Tel: 501-412-4529 Fax: --
Contact information for business:
PO BOX 56050 LITTLE ROCK, AR 72215-6050 US
Tel: 501-661-0720 Fax: --
Tel: 501-661-0720 Fax: --
Registration Information:
NPI: 1053491563
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 104100000X | Behavioral Health & Social Service Providers Social Worker | AR | 1899-M |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | AR | 2320-C |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
