Most Relevant Information
Provider Data
| NPI Number: | 1003354606 |
| Provider Name: | SHANNEN DUFOUR MSW, LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 2940 |
Most Important Dates
| Enumeration Date: | 02/03/2017 |
| Last Updated: | 07/13/2023 |
Provider Practice Location
40 PLEASANT ST
CONCORD
NH
033014006
Practice Location Phone/Fax
| Phone: | 6032267505 |
| Fax: |
Provider Mailing Location
PO BOX 2032
CONCORD
NH
033022032
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |