SHANNON COLESTOCK

BERLIN, NJ
NPI1255596243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-07-19
Last Update Date2008-07-19
Business Address
-- SHANNON COLESTOCK
128 CROSS KEYS RD
BERLIN, NJ 08009-9201
Phone number: 856-210-1511
Mailing Address
-- SHANNON COLESTOCK
128 CROSS KEYS RD
BERLIN, NJ 08009-9201
Phone number: 856-210-1511
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