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1295982429
AMANDA SHACKELL
NEW HAVEN, CT
NPI
1295982429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT 002620)
Enumeration Date
2008-08-19
Last Update Date
2022-01-24
Business Address
Ms. AMANDA SHACKELL APRN
1 LONG WHARF DR
NEW HAVEN, CT 06511-5991
Phone number: 203-781-4600
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Mailing Address
Ms. AMANDA SHACKELL APRN
1 LONG WHARF DR STE 321
NEW HAVEN, CT 06511-5991
Phone number: 203-781-4600
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