Individual
KELLY SUE SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 OLEAN RD, EAST AURORA, NY 14052-9781
(716) 240-2220
(716) 714-9500
Mailing address
730 OLEAN RD, EAST AURORA, NY 14052-9781
(716) 240-2220
(716) 714-9500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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