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1205301157
SHANNON SMITH
SANTA ANA, CA
NPI
1205301157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1328911118)
Enumeration Date
2018-10-08
Last Update Date
2020-12-18
Business Address
Ms. SHANNON SMITH CCAPP
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
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Mailing Address
Ms. SHANNON SMITH CCAPP
1207 E FRUIT ST
SANTA ANA, CA 92701-4206
Phone number: 714-953-9373
Copy
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