Shannon Marie Mcdermott Crandall, LCSW Valid NPI
Individual provider · Clinical Social Worker · O Fallon, MO
- NPI
- 1194453654
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 2016013948 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-08-11
- Last updated
- 2022-08-11
Practice location
311 Ruth Ann Dr
O Fallon, MO 63368-8020
(636) 439-1931