Individual
MISS SHANNON LYNN TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
420 N MAIN ST, BRISTOL, CT 06010-4923
(860) 583-5858
(860) 584-9962
Mailing address
420 N MAIN ST, BRISTOL, CT 06010-4923
(860) 583-5858
(860) 584-9962
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001929
CT
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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