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Shannon Wooten
NPI 1972113520 · on the registry since 2020 · sole proprietor
Practice
- Address
- 64 Eldredge St
Newton, MA 02458 - Phone
- (617) 969-4925
- Organisation at this address
- Riverside Community Care
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 73
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts