JACQULINE MARIE SHANNON

WEST ISLIP, NY
NPI1548894199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  107578)
Enumeration Date2020-02-22
Last Update Date2023-11-20
Business Address
JACQULINE MARIE SHANNON LCSW
23 SECATOGUE LN E
WEST ISLIP, NY 11795-4719
Phone number: 631-901-3367
Mailing Address
JACQULINE MARIE SHANNON LCSW
23 SECATOGUE LN E
WEST ISLIP, NY 11795-4719
Phone number: 631-901-3367
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