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Shannon McKenna

Case Manager/Care Coordinator in Springfield, VT. Individual provider (NPI-1).

NPI number1124863543
StatusActive
Last updated in NPPESJun 27, 2024

Details

NPI
1124863543
Entity type
Individual (NPI-1)
Name
Shannon McKenna
Sex
Female
Sole proprietor
No
Enumeration date
Jun 27, 2024
Certification date
Jun 27, 2024
Last updated
Jun 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

390 River Street
Springfield, VT 05156-2226

Phone 802-886-4500

Mailing address

390 River Street
Springfield, VT 05156-2226

Phone 802-886-4500 · Fax 802-886-4520

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