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1013465285
SHANNON WHITE
THIBODAUX, LA
NPI
1013465285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-16
Last Update Date
2016-09-16
Business Address
-- SHANNON WHITE
102 W 2ND ST
THIBODAUX, LA 70301-3004
Phone number: 985-446-5244
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Mailing Address
-- SHANNON WHITE
102 W 2ND ST
THIBODAUX, LA 70301-3004
Phone number: 985-446-5244
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