Male or Other

Shannonn M. Tierney MSW, LICSW

Clinical Social Worker in Port Townsend, WA(View on Map)

Full Name

Shannonn Marie Tierney MSW, LICSW

NPI Number

1750481354

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/23/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LW00007915

Contact
Information

Purpose

Mailing
Location

Address

530 19TH ST
530 19TH ST

City

Port Townsend
Port Townsend

State

WA
WA

Postal Code

98368-6007
98368-6007

Country

US
US

Telephone Number

(360) 379-5339
(360) 379-5339

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/03/2024

Provider Address

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