Individual
MS. SHANNON LEE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
15 PROSPECT ST, NASHUA, NH 03060-3923
(603) 889-6147
Mailing address
15 PROSPECT ST, NASHUA, NH 03060-3923
(603) 889-6147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/25/2009
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