Provider Information for 1538631528
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Mrs. SHANNON JULIANNE TOY MEd, LCSW
Sex: Female
NPI: 1538631528
Last Updated: 2024-09-24
Certification Date: 2024-09-24
Certification Date: 2024-09-24
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1538631528 | ||||||||||||||||||||
| Enumeration Date | 2019-01-02 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 1318 JAMESTOWN RD STE 201 WILLIAMSBURG, VA 23185-3382 United States Phone: 757-350-4516 | Fax:757-275-0106 | ||||||||||||||||||||
| Primary Practice Address | 1318 JAMESTOWN RD STE 201 WILLIAMSBURG, VA 23185-3382 United States Phone: 757-350-4516 | Fax:757-275-0106 | ||||||||||||||||||||
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