SHANNON DANILE WIGHT

MERCED, CA
NPI1215222823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  02-090691)
Enumeration Date2011-06-10
Last Update Date2021-04-19
Business Address
Mrs. SHANNON DANILE WIGHT CAS1
301 E 13TH ST
MERCED, CA 95341-6211
Phone number: 209-381-6850
Mailing Address
Mrs. SHANNON DANILE WIGHT CAS1
PO BOX 2087
MERCED, CA 95344-0087
Phone number: 209-381-6850
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