Shannon Petrie, LMSW

NPI #1649770314 in Pulaski, New York

Provider Information

NPI Number: 1649770314
Entity Type: Individual
Name: Shannon Petrie, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Feb 19, 2018
Last Updated: Feb 19, 2018

Practice Location

Address: 61 DELANO ST
City: Pulaski
State: New York
ZIP Code: 13142-1400
Phone: (315) 298-6569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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