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1023252368
SHANNON PATRICIA GREEN
PALM BAY, FL
NPI
1023252368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL MH 8211)
Enumeration Date
2009-04-30
Last Update Date
2009-04-30
Business Address
SHANNON PATRICIA GREEN LMHC
490 CENTRE LAKE DR NE SUITE 150
PALM BAY, FL 32907-1113
Phone number: 321-768-6420
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Mailing Address
SHANNON PATRICIA GREEN LMHC
490 CENTRE LAKE DR NE SUITE 150
PALM BAY, FL 32907-1113
Phone number: 321-768-6420
Copy
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