Individual
SHANNON MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
39 BOYLSTON ST, BOSTON, MA 02116-4702
(617) 457-1047
Mailing address
19 EASTMAN ST APT 1, BOSTON, MA 02125-3888
(865) 318-2761
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
224970
MA
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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