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1255677290
SHANNON MICHELLE PENA
PEMBROKE PINES, FL
NPI
1255677290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: FL SW21618)
Enumeration Date
2012-12-19
Last Update Date
2023-06-29
Business Address
SHANNON MICHELLE PENA
12333 NW 18TH ST STE 5
PEMBROKE PINES, FL 33026-4386
Phone number: 954-780-6093
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Mailing Address
SHANNON MICHELLE PENA
910 BEACON ST NW
PALM BAY, FL 32907-7835
Phone number: 321-334-7417
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