SHANNON RUSSO

PORT JEFFERSON STATION, NY
NPI1366388670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  120865)
Enumeration Date2026-04-28
Last Update Date2026-04-28
Business Address
SHANNON RUSSO
1227 MAIN ST
PORT JEFFERSON STATION, NY 11777-2227
Phone number: 631-312-1225
Mailing Address
SHANNON RUSSO
3 HEDDA RD
PORT JEFFERSON STATION, NY 11776-2818
Phone number: 631-316-4158
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