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Individual
SHANNON J STAGGERS
Active
Individual
SHANNON J STAGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., CAC, MATS, CCB
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
119642
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
300452
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
3672
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174607253
MIDWESTERN CONNECTICUT COUNCIL OF ALCOHOLISM
CT
Enumeration date
07/12/2013
Last updated
07/12/2013
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