SHANNA THERIAULT

BOSTON, MA
NPI1114170990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  215281)
Enumeration Date2008-10-24
Last Update Date2008-10-24
Business Address
-- SHANNA THERIAULT LCSW
300 LONGWOOD AVE PSYCHIATRY DEPARTMENT
BOSTON, MA 02115-5724
Phone number: 617-355-8593
Mailing Address
-- SHANNA THERIAULT LCSW
300 LONGWOOD AVE PSYCHIATRY DEPARTMENT
BOSTON, MA 02115-5724
Phone number: 617-355-8593
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