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1144242025
SHANNON CROTTS CROTTS
TUSTIN, CA
NPI
1144242025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 21498)
Enumeration Date
2006-07-23
Last Update Date
2007-07-08
Business Address
-- SHANNON CROTTS CROTTS LCSW
17542 IRVINE BLVD STE F
TUSTIN, CA 92780-3155
Phone number: 714-333-5951
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Mailing Address
-- SHANNON CROTTS CROTTS LCSW
5863 CANDLEWOOD ST
LAKEWOOD, CA 90713-1828
Phone number: 562-857-5775
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