Vanstavoren, Mary Shannon
Vanstavoren, Mary Shannon is an individual health care provider with primary practice located at 1061 Harmon Ave Suite 1D03, Fort Stewart GA 31314-5641. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vanstavoren, Mary Shannon can be contacted via phone (912) 435-6965.Contact Information
Primary practice address
1061 Harmon Ave Suite 1D03
Fort Stewart GA 31314-5641
Phone: (912) 435-6965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C007883 | North Carolina |
Profile Details
| NPI number | 1689902397 |
|---|---|
| LBN Legal business name | Vanstavoren, Mary Shannon |
| Credentials | P-LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2009 |
| Last updated | Nov 17th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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