Shannon Davoult

NPI #1336922095 in Plainview, New York

Provider Information

NPI Number: 1336922095
Entity Type: Individual
Name: Shannon Davoult
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 16, 2023
Last Updated: Aug 16, 2023

Practice Location

Address: 55 W AMES CT
City: Plainview
State: New York
ZIP Code: 11803-2304
Phone: (516) 728-4722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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