Individual
MRS. SHANNON MACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
16 BRACE RD, WEST HARTFORD, CT 06107-1825
(203) 598-4713
Mailing address
16 BRACE RD, WEST HARTFORD, CT 06107-1825
(203) 598-4713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CT
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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