Susan L Shea
NPI #1073039715 in Bloomfield, Missouri
Provider Information
- NPI Number
- 1073039715
- Entity Type
- Individual
- Name
- Susan L Shea
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 15, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 402 BARBARA STREET
- City
- Bloomfield
- State
- Missouri
- ZIP Code
- 63825
- Phone
- (573) 895-2204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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