| Shannon Boivin, Lcsw, Llc | |
|
128 Windham St Willimantic CT 06226-2212 | |
| (860) 327-5850 | |
| Not Available |
| Full Name | Shannon Boivin, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 128 Windham St, Willimantic, Connecticut |
| Authorized Official Name and Position | Shannon Boivin (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8603275850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Boivin, Lcsw, Llc Po Box 858 Willimantic CT 06226-0858 Ph: () - | Shannon Boivin, Lcsw, Llc 128 Windham St Willimantic CT 06226-2212 Ph: (860) 327-5850 |
| NPI Number | 1578137360 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578137360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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