Individual
SHANNON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 COMMERCIAL ST, 330, WORCESTER, MA 01608-1726
(508) 752-4665
Mailing address
250 COMMERCIAL ST, 330, WORCESTER, MA 01608-1726
(508) 752-4665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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