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1104411719
SHANNON W CARL
WACO, TX
NPI
1104411719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 80799)
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
SHANNON W CARL LPC
209 OLD HEWITT RD STE 3
WACO, TX 76712-6599
Phone number: 254-214-3397
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Mailing Address
SHANNON W CARL LPC
209 OLD HEWITT RD STE 3
WACO, TX 76712-6599
Phone number: 254-214-3397
Copy
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