Individual
COLLEEN M SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 ARNOLD CIR, SUITE 5, CAMBRIDGE, MA 02139-2250
(508) 414-6037
Mailing address
1 ARNOLD CIR, SUITE 5, CAMBRIDGE, MA 02139-2250
(508) 414-6037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
216765
MA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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