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1245719186
SHANNON ROSE COWIE
LOS ANGELES, CA
NPI
1245719186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-08-10
Last Update Date
2018-08-10
Business Address
SHANNON ROSE COWIE
4920 AVALON BLVD
LOS ANGELES, CA 90011-4004
Phone number: 323-235-5035
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Mailing Address
SHANNON ROSE COWIE
6643 DAY ST
TUJUNGA, CA 91042
Phone number:
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