Shannon Miele

NPI #1013275080 in Patchogue, New York

Provider Information

NPI Number: 1013275080
Entity Type: Individual
Name: Shannon Miele
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Apr 27, 2012
Last Updated: Dec 13, 2012

Practice Location

Address: 456 WAVERLY AVE
City: Patchogue
State: New York
ZIP Code: 11772-1586
Phone: (631) 447-6460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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