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Individual
SHANNON LYN HUNNEWELL
Active
Individual
SHANNON LYN HUNNEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWA, LADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22120
MA
1041C0700X
Clinical Social Worker
Primary
LSWA416092
MA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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