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1073017562
SHANNON LEE VARY
FAIRFAX, VA
NPI
1073017562
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Former Name
SHANNON LEE STACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
SHANNON LEE VARY
10340 DEMOCRACY LN STE 102B
FAIRFAX, VA 22030-2518
Phone number: 571-386-0871
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Mailing Address
SHANNON LEE VARY
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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