Shannon Secrist's National Provider Identifier (NPI) Details
Shannon Secrist, LICSW
NPI: 1275631723
Enumeration Date: 2006-09-20
Last updated: 2024-08-05
Sole Proprietor: NO
Status: active
Postal Address: 406 TECHNOLOGY CENTER DR UNIT 4409, STOUGHTON, MA
Phone: 530-520-9319
Primary Practice Address: 529 MAIN ST STE 100, CHARLESTOWN, MA
Practice's phone: 617-756-2151