MARY SHANNON VANSTAVOREN

FORT STEWART, GA
NPI1689902397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NC  C007883)
Enumeration Date2009-11-19
Last Update Date2015-11-17
Business Address
-- MARY SHANNON VANSTAVOREN P-LCSW
1061 HARMON AVE SUITE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
Mailing Address
-- MARY SHANNON VANSTAVOREN P-LCSW
1061 HARMON AVENUE SUITE 1D03
FORT STEWART, GA 31314-5674
Phone number: 912-435-6965