Individual
SHANNELLE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1789 NEW BRITAIN AVE STE 18, FARMINGTON, CT 06032-3317
(860) 922-0561
Mailing address
1789 NEW BRITAIN AVE STE 18, FARMINGTON, CT 06032-3317
(860) 922-0561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7273
CT
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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