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1174027403
SHANNON BRAVO
SACRAMENTO, CA
NPI
1174027403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 67703)
Enumeration Date
2018-03-21
Last Update Date
2018-03-21
Business Address
SHANNON BRAVO ASW
651 I ST
SACRAMENTO, CA 95814-2400
Phone number: 916-874-6502
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Mailing Address
SHANNON BRAVO ASW
651 I ST
SACRAMENTO, CA 95814-2400
Phone number: 916-874-6502
Copy
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