Individual
SHANNON ELAINE QUEIROGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
137 EAST AVE, 2ND FLOOR, NORWALK, CT 06851-5702
(203) 415-5321
Mailing address
47 MONROE ST, APT. D, MILFORD, CT 06460-5725
(203) 415-5321
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002477
CT
Other
Enumeration date
08/20/2007
Last updated
08/04/2014
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