Individual
SHANNON FLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7266 BUCKLEY RD, NORTH SYRACUSE, NY 13212-2649
(315) 458-0919
(315) 458-0954
Mailing address
8290 LARKSPUR DR, BALDWINSVILLE, NY 13027-6211
(315) 652-3852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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