Individual
SHANNON MACKAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 COUNTRY DR APT G, DOVER, DE 19901-4782
(609) 957-0183
Mailing address
424 COUNTRY DR APT G, DOVER, DE 19901-4782
(609) 957-0183
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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