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1154107647
SHANNON KATHLEEN LARSEN
VANCOUVER, WA
NPI
1154107647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
Ms. SHANNON KATHLEEN LARSEN
3200 NE 109TH AVE
VANCOUVER, WA 98682-7749
Phone number: 360-695-1014
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Mailing Address
Ms. SHANNON KATHLEEN LARSEN
3200 NE 109TH AVE
VANCOUVER, WA 98682-7749
Phone number: 360-695-1014
Copy
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