Individual provider · NPI-1

Shannon Gailya Abbott

Social Worker · Indianapolis, IN

NPI number1194887141
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1194887141
Entity type
Individual (NPI-1)
Name
Shannon Gailya Abbott
Sex
Female
Sole proprietor
No
Enumeration date
Dec 15, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker33005105AINYes

Practice location

5470 E 16th St
Indianapolis, IN 46218-4861

Phone 317-355-5009

Mailing address

6950 Hillsdale Ct
Attn Carol Gorbett
Indianapolis, IN 46250-2040

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