ELLEN DOLORES SHANNON

FORT WAYNE, IN
NPI1841940145
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  88000982A)
Enumeration Date2022-03-28
Last Update Date2022-05-17
Business Address
ELLEN DOLORES SHANNON MSEd, LMHC
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805-5351
Phone number: 260-424-0411
Mailing Address
ELLEN DOLORES SHANNON MSEd, LMHC
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805-5351
Phone number: 260-424-0411
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