Most Relevant Information
Provider Data
| NPI Number: | 1003591405 |
| Provider Name: | SHANNON SWENSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2023 |
| Last Updated: | 08/03/2024 |
Provider Practice Location
1580 ELMWOOD AVE STE D
ROCHESTER
NY
146203620
Practice Location Phone/Fax
| Phone: | 7163245904 |
| Fax: |
Provider Mailing Location
1580 ELMWOOD AVE STE D
ROCHESTER
NY
146203620
Provider Mailing Phone/Fax
| Phone: | 7163245904 |
| Fax: |