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1164258521
JOHN GERARD SHANNON
EDMONDS, WA
NPI
1164258521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00009627)
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
Mr. JOHN GERARD SHANNON LICSW
21601 76TH AVE W FL 1
EDMONDS, WA 98026-7507
Phone number: 206-940-2017
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Mailing Address
Mr. JOHN GERARD SHANNON LICSW
21601 76TH AVE W FL 1
EDMONDS, WA 98026-7507
Phone number: 206-940-2017
Copy
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