Individual
CHRISTOPHER EDWARDS SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
50 PLEASANT ST, NORTHAMPTON, MA 01060-4127
(413) 584-6855
Mailing address
PO BOX 60202, FLORENCE, MA 01062-0202
(413) 320-0064
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
210367
MA
1041C0700X
Clinical Social Worker
Primary
122804
MA
Other
Enumeration date
02/11/2019
Last updated
06/29/2021
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