Shannon Martin

NPI #1023677762 in Southbridge, Massachusetts

Provider Information

NPI Number
1023677762
Entity Type
Individual
Name
Shannon Martin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Jun 6, 2019
Last Updated
Jun 6, 2019

Practice Location

Address
328 MAIN ST
ZIP Code
01550-3794
Phone
(774) 276-5247

Specialties & Taxonomy Codes

Specialty
Counselor

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