Individual
AMY VICTORIA SHAKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 TSIENNETO RD, DERRY, NH 03038-1505
(603) 965-0661
Mailing address
450 SAND PIT RD, MASON, NH 03048-4207
(603) 716-8737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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