Shannon S. Gordon
Clinical Social Worker in Shelby, NC(View on Map)
Full Name
Shannon Suzette Gordon
NPI Number
1558067637
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/01/2023
Specialties
(Taxonomies)Code
1041C0700X
101Y00000X
101YM0800X
101YP2500X
Primary Taxonomy
Yes
No
No
No
Licenses
State
North Carolina
License Number
P018665
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 1084
213 PATTON DR STE B
City
Shelby
Shelby
State
NC
NC
Postal Code
28151-1084
28150-4696
Country
US
US
Telephone Number
(980) 318-6915
(980) 465-2533
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/01/2023
Provider Address
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