Individual
BARBARA J SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 LANDVIEW DR, DIX HILLS, NY 11746-5844
(631) 741-7542
Mailing address
28 LANDVIEW DR, DIX HILLS, NY 11746-5844
(631) 741-7542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
083304
NY
174400000X
Specialist
Primary
582641941
NY
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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