Shannon R Stanton, B.S, M.S.ED

NPI #1073875878 in Walton, New York

Provider Information

NPI Number: 1073875878
Entity Type: Individual
Name: Shannon R Stanton, B.S, M.S.ED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: B.S, M.S.ED
Enumeration Date: Jun 8, 2012
Last Updated: Jun 8, 2012

Practice Location

Address: 25756 STATE HIGHWAY 10
City: Walton
State: New York
ZIP Code: 13856-2195
Phone: (607) 287-2768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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