Mary Kinsella-Shaw LLC
NPI #1013554518 in Mansfield Center, Connecticut
Provider Information
- NPI Number
- 1013554518
- Entity Type
- Organization
- Organization Name
- Mary Kinsella-Shaw LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 3, 2019
- Last Updated
- Dec 3, 2019
Practice Location
- Address
- 31 WARRENVILLE RD
- City
- Mansfield Center
- State
- Connecticut
- ZIP Code
- 06250-1260
- Phone
- (860) 450-1173
Authorized Official
- Name
- BONNILYN TELESCA
- Title
- BILLER
- Phone
- (203) 668-1613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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