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1144974791
SHANNON KAYE FANUCCHI
BAKERSFIELD, CA
NPI
1144974791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 127970)
Enumeration Date
2022-02-11
Last Update Date
2022-02-11
Business Address
SHANNON KAYE FANUCCHI LMFT
7070 SCHIRRA CT
BAKERSFIELD, CA 93313-2122
Phone number: 661-834-7564
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Mailing Address
SHANNON KAYE FANUCCHI LMFT
7850 WHITE LN # E249
BAKERSFIELD, CA 93309-7698
Phone number: 661-834-7564
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