Mrs. SHANNON ROSE INDIEK LMSW
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1528686037- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 2006 1ST AVE, DODGE CITY, KS, 678012623
- Phone
- (620) 371-6548
Specialties & Taxonomies
Social Worker
Primary License: KS #11762