SHANNON KOSTUCK

WINSTON SALEM, NC
NPI1568892016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P007907)
Enumeration Date2013-11-20
Last Update Date2013-11-20
Business Address
Mrs. SHANNON KOSTUCK MSW, LCSW-A
2101 PETERS CREEK PKWY SUITE 20-22
WINSTON SALEM, NC 27127-3726
Phone number: 336-761-5300
Mailing Address
Mrs. SHANNON KOSTUCK MSW, LCSW-A
2101 PETERS CREEK PKWY SUITE 20-22
WINSTON SALEM, NC 27127-3726
Phone number: 336-761-5300
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