Individual
SHANNON MCGINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
80 DARTMOUTH AVE, AVENEL, NJ 07001-1860
(305) 240-1317
Mailing address
80 DARTMOUTH AVE, AVENEL, NJ 07001-1860
(305) 240-1317
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/16/2012
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