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1700353455
AMELIA D SHANNON
NEW HAVEN, CT
NPI
1700353455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 3602)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
AMELIA D SHANNON LPC
239 COLUMBUS AVE
NEW HAVEN, CT 06519-2230
Phone number: 203-910-0548
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Mailing Address
AMELIA D SHANNON LPC
239 COLUMBUS AVE
NEW HAVEN, CT 06519
Phone number: 203-910-0548
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