| Shannon L. Ayotte Stauffer, L.c.s.w., L.l.c. | |
|
720 Hopmeadow St Suite 3 Simsbury CT 06070-2224 | |
| (860) 651-3489 | |
| (860) 651-3489 |
| Full Name | Shannon L. Ayotte Stauffer, L.c.s.w., L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 720 Hopmeadow St, Simsbury, Connecticut |
| Authorized Official Name and Position | Shannon L. Ayotte Stauffer (OWNER) |
| Authorized Official Contact | 8606513489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon L. Ayotte Stauffer, L.c.s.w., L.l.c. 720 Hopmeadow St Suite 3 Simsbury CT 06070-2224 Ph: (860) 651-3489 | Shannon L. Ayotte Stauffer, L.c.s.w., L.l.c. 720 Hopmeadow St Suite 3 Simsbury CT 06070-2224 Ph: (860) 651-3489 |
| NPI Number | 1083636997 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083636997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006144 (Connecticut) | Primary |
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