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1205304631
SHANNON MARIE SANDREA
AUSTIN, TX
NPI
1205304631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 15945)
Enumeration Date
2018-11-03
Last Update Date
2018-11-03
Business Address
SHANNON MARIE SANDREA
2410 E RIVERSIDE DR
AUSTIN, TX 78741-3083
Phone number: 512-917-2741
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Mailing Address
SHANNON MARIE SANDREA
2410 E RIVERSIDE DR
AUSTIN, TX 78741-3083
Phone number: 512-917-2741
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