Individual
SHANNON MCCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 GRAFTON ST UNIT F88, WORCESTER, MA 01604-2642
(228) 224-3980
Mailing address
1199 GRAFTON ST UNIT F88, WORCESTER, MA 01604-2642
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
10/08/2019
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