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1235366485
SHANNON HODGE
SAN FRANCISCO, CA
NPI
1235366485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-15
Last Update Date
2009-06-15
Business Address
-- SHANNON HODGE
211 13TH ST
SAN FRANCISCO, CA 94103-2461
Phone number: 415-746-1945
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Mailing Address
-- SHANNON HODGE
211 13TH ST
SAN FRANCISCO, CA 94103-2461
Phone number: 415-746-1945
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