SHANNON E CUSACK

MIDLOTHIAN, VA
NPI1437831278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: VA  0810008186)
Enumeration Date2023-08-02
Last Update Date2023-08-02
Business Address
SHANNON E CUSACK PhD
3010 SUMMERHURST DR
MIDLOTHIAN, VA 23113-2181
Phone number: 804-319-0741
Mailing Address
SHANNON E CUSACK PhD
3010 SUMMERHURST DR
MIDLOTHIAN, VA 23113-2181
Phone number:
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