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Organization
SHANNON SHAW LCSW, PLLC
Active
Organization
SHANNON SHAW LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SHAW LCSW-R (THERAPIST)
(845) 554-7066
Entity
Organization
Contact information
Practice address
112 VERBANK RD, MILLBROOK, NY 12545-6008
(845) 554-7066
Mailing address
112 VERBANK RD, MILLBROOK, NY 12545-6008
(845) 554-7066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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