Individual
SHANNON RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
81 GLORY DR, PITTSFIELD, MA 01201-7414
(413) 822-5351
Mailing address
81 GLORY DR, PITTSFIELD, MA 01201-7414
(413) 822-5351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
228804
MA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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