Shannon Shaw Lcsw, Pllc

NPI #1093416943 in Millbrook, New York

Provider Information

NPI Number: 1093416943
Entity Type: Organization
Organization Name: Shannon Shaw Lcsw, Pllc
Primary Specialty: Social Worker
Enumeration Date: Mar 16, 2023
Last Updated: Mar 16, 2023

Practice Location

Address: 112 VERBANK RD
City: Millbrook
State: New York
ZIP Code: 12545-6008
Phone: (845) 554-7066

Authorized Official

Name: SHANNON SHAW, LCSW-R
Title: THERAPIST
Phone: (845) 554-7066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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