Individual
MS. KAYLA MARIE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 795-3500
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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