Individual
SHANNON ROSE DI VIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 NIGHT SAIL DR N APT 301, MEMPHIS, TN 38103-0010
(706) 889-0383
Mailing address
324 NIGHT SAIL DR N APT 301, MEMPHIS, TN 38103-0010
(706) 889-0383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TN
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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