Shawndea Kina Gammon, LSW
Social Worker in Columbus, OH. Individual provider (NPI-1).
NPI number1346852902
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1346852902
- Entity type
- Individual (NPI-1)
- Name
- Shawndea Kina Gammon
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | S.2004825 | OH | Yes |
Practice location
495 E Main StColumbus, OH 43215-5349
Phone 614-355-8055
Mailing address
Dept 781625Detroit, MI 48278-1625
Phone 614-355-8004
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