Individual
SHANNON MAY ROSE BROWNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
28 LAKEVIEW BLVD, AVON, CT 06001-3443
(860) 965-1280
Mailing address
28 LAKEVIEW BLVD, AVON, CT 06001-3443
(860) 965-1280
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9953
CT
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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