SHANNON D RUSSELL

EAST HARTFORD, CT
NPI1790273647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  6372)
Enumeration Date2018-04-26
Last Update Date2018-04-26
Business Address
SHANNON D RUSSELL
1406 MAIN ST
EAST HARTFORD, CT 06108-1684
Phone number: 860-249-0975
Mailing Address
SHANNON D RUSSELL
1406 MAIN ST
EAST HARTFORD, CT 06108-1684
Phone number: 860-249-0975
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