SHANNON GILLIAN BAZELAIS

DARIEN, CT
NPI1427612886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: CT  003072)
Enumeration Date2019-04-30
Last Update Date2019-04-30
Business Address
SHANNON GILLIAN BAZELAIS LPC
30 OLD KINGS HWY S
DARIEN, CT 06820-4551
Phone number: 203-883-0464
Mailing Address
SHANNON GILLIAN BAZELAIS LPC
12 TUTTLE ST APT 3B
STAMFORD, CT 06902-4636
Phone number: 203-832-5661