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1225545650
SHANNON L DOUGLAS
JACKSON, MI
NPI
1225545650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801113543)
Enumeration Date
2018-01-08
Last Update Date
2024-07-17
Business Address
SHANNON L DOUGLAS LMSW, CAADC
2424 W WASHINGTON AVE
JACKSON, MI 49203-1236
Phone number: 517-205-6788
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Mailing Address
SHANNON L DOUGLAS LMSW, CAADC
2424 W WASHINGTON AVE
JACKSON, MI 49203-1236
Phone number: 517-205-6788
Copy
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