Individual
SHANNON PASKARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
905 HERRONTOWN RD, PRINCETON, NJ 08540-1901
(609) 497-3300
Mailing address
710 BARNSTABLE LN, BOWLING GREEN, OH 43402-8740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06059900
NJ
1041C0700X
Clinical Social Worker
44SC05773600
NJ
1041C0700X
Clinical Social Worker
I.2103220
OH
Other
Enumeration date
11/07/2017
Last updated
02/28/2022
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