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1114051679
SHANNON BARBARA MICHELSON
SAN JOSE, CA
NPI
1114051679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS21247)
Enumeration Date
2007-03-15
Last Update Date
2022-01-03
Business Address
-- SHANNON BARBARA MICHELSON
5755 COTTLE RD
SAN JOSE, CA 95123-3640
Phone number: 408-972-3419
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Mailing Address
-- SHANNON BARBARA MICHELSON
PO BOX 5956
SAN JOSE, CA 95150-5956
Phone number: 408-972-3419
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