Individual
SHANNON GRIFFIN KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
500 LINCOLN BLVD, HAUPPAUGE, NY 11788-2902
(631) 761-8328
Mailing address
PO BOX 6006, HAUPPAUGE, NY 11788-9006
(631) 761-8328
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
051969-1
NY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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