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1225525199
SHANNON THOME-STAPLETON
LOGANVILLE, GA
NPI
1225525199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC010108)
Enumeration Date
2018-04-17
Last Update Date
2018-05-02
Business Address
SHANNON THOME-STAPLETON LPC
678 TOM BREWER RD
LOGANVILLE, GA 30052-4005
Phone number: 770-554-3599
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Mailing Address
SHANNON THOME-STAPLETON LPC
420 SPRING PL
MONROE, GA 30655-2072
Phone number: 404-563-6600
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