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1013650779
SHANNON LEIGH NICHOLS
ORANGE, CA
NPI
1013650779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 114757)
Enumeration Date
2022-04-19
Last Update Date
2023-06-16
Business Address
SHANNON LEIGH NICHOLS LCSW
7317 E MORNINGLORY WAY
ORANGE, CA 92869-4539
Phone number: 714-309-1156
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Mailing Address
SHANNON LEIGH NICHOLS LCSW
7317 E MORNINGLORY WAY
ORANGE, CA 92869-4539
Phone number: 714-309-1156
Copy
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