Recupero, Shannon Rae
Recupero, Shannon Rae is an individual health care provider with primary practice located at 300 W Hospital Rd Room 13A-10, Fort Gordon GA 30905-5741. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Recupero, Shannon Rae can be contacted via phone (706) 787-9054.Contact Information
Primary practice address
300 W Hospital Rd Room 13A-10
Fort Gordon GA 30905-5741
Phone: (706) 787-9054
Fax: (706) 787-8991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003777 | Georgia |
Profile Details
| NPI number | 1346436524 |
|---|---|
| LBN Legal business name | Recupero, Shannon Rae |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Apr 1st, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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