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1194245969
SHANNON LARAY GREEN
LAS VEGAS, NV
NPI
1194245969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-22
Last Update Date
2022-07-21
Business Address
SHANNON LARAY GREEN
3800 DALECREST DR UNIT 2109
LAS VEGAS, NV 89129-1769
Phone number: 702-448-9285
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Mailing Address
SHANNON LARAY GREEN
3800 DALECREST DR UNIT 2109
LAS VEGAS, NV 89129-1769
Phone number: 702-448-9285
Copy
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