Individual
MARY KINSELLA-SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
(860) 456-0164
Mailing address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
(860) 456-0164
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000168
CT
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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