Individual
SHANNON GAILYA ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5470 E 16TH ST, INDIANAPOLIS, IN 46218-4861
(317) 355-5009
Mailing address
6950 HILLSDALE CT, ATTN CAROL GORBETT, INDIANAPOLIS, IN 46250-2040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33005105A
IN
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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