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1083172613
SUSAN KAY SHANNON
TACOMA, WA
NPI
1083172613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-03-02
Last Update Date
2019-09-24
Business Address
MS. SUSAN KAY SHANNON CDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576
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Mailing Address
MS. SUSAN KAY SHANNON CDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576
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