Mary Shannon Vanstavoren, P-LCSW
NPI #1689902397 in Fort Stewart, Georgia
Provider Information
- NPI Number
- 1689902397
- Entity Type
- Individual
- Name
- Mary Shannon Vanstavoren, P-LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- P-LCSW
- Enumeration Date
- Nov 19, 2009
- Last Updated
- Nov 17, 2015
Practice Location
- Address
- 1061 HARMON AVE
- Address 2
- SUITE 1D03
- City
- Fort Stewart
- State
- Georgia
- ZIP Code
- 31314-5641
- Phone
- (912) 435-6965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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