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1225449903
SHANNON GLADE
VANCOUVER, WA
NPI
1225449903
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Former Name
SHANNON GLADE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2014-05-15
Last Update Date
2015-02-19
Business Address
-- SHANNON GLADE
415 W 11TH ST
VANCOUVER, WA 98660-3147
Phone number: 360-699-2244
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Mailing Address
-- SHANNON GLADE
415 W 11TH ST
VANCOUVER, WA 98660-3147
Phone number: 360-699-2244
Copy
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