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1013982768
JENNIFER JOY SHANNON
SANTA ROSA, CA
NPI
1013982768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFC 30265)
Enumeration Date
2006-02-17
Last Update Date
2016-12-04
Business Address
Ms. JENNIFER JOY SHANNON MFC
613 COLLEGE AVE
SANTA ROSA, CA 95404-4104
Phone number: 707-703-5199
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Mailing Address
Ms. JENNIFER JOY SHANNON MFC
613 COLLEGE AVE
SANTA ROSA, CA 95404-4104
Phone number: 707-703-5199
Copy
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