Shelby Champagne, MSW INTERN

NPI #1114332434 in Dayville, Connecticut

Provider Information

NPI Number: 1114332434
Entity Type: Individual
Name: Shelby Champagne, MSW INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW INTERN
Enumeration Date: Jun 25, 2014
Last Updated: Feb 4, 2019

Practice Location

Address: 1007 N MAIN ST
City: Dayville
State: Connecticut
ZIP Code: 06241-2170
Phone: (860) 774-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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