Individual
MR. HAYWOOD SCOTT SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 GENERAL ST, LAWRENCE, MA 01840-1809
(978) 620-1709
(978) 683-6074
Mailing address
30 GENERAL ST, LAWRENCE, MA 01840-1809
(978) 620-1709
(978) 683-6074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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