Individual
MRS. SHANNON PAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT, ATRBC
Contact information
Practice address
328 MAIN ST. #1, SOUTHBRIDGE, NY 01550
19145723015
Mailing address
328 MAIN ST STE 1, SOUTHBRIDGE, MA 01550-3795
19145723015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/28/2019
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