Individual
MR. DAVID MICHAEL SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
305 NEWBURY ST STE 42, BOSTON, MA 02115-2833
(617) 388-3256
Mailing address
305 NEWBURY ST STE 42, BOSTON, MA 02115-2833
(617) 388-3256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110234
MA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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