Individual
MISS SHANNON BYRNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 BORDER ST, EAST BOSTON, MA 02128-2432
(617) 569-6560
Mailing address
530 BORDER ST, EAST BOSTON, MA 02128-2432
(617) 569-6560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
07/13/2007
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