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1053753848
SHANNON CHARLES
LAKE CITY, FL
NPI
1053753848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NJ 44SL05652700)
Enumeration Date
2013-07-23
Last Update Date
2014-12-09
Business Address
MS. SHANNON CHARLES MSW
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 973-941-8322
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Mailing Address
MS. SHANNON CHARLES MSW
507 NW 39TH RD #309
GAINESVILLE, FL 32607-2322
Phone number: 973-941-8322
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