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1174254999
SHANNON DAVIS
BENTON, AR
NPI
1174254999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-22
Last Update Date
2022-06-22
Business Address
SHANNON DAVIS
7041 ROLLING MEADOW LOOP
BENTON, AR 72015-8401
Phone number: 501-722-3362
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Mailing Address
SHANNON DAVIS
7041 ROLLING MEADOW LOOP
BENTON, AR 72015-8401
Phone number: 501-722-3362
Copy
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