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1285839530
SHANNON S SMITH
SAN LEANDRO, CA
NPI
1285839530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS24641)
Enumeration Date
2007-06-18
Last Update Date
2010-09-14
Business Address
Ms. SHANNON S SMITH
2500 FAIRMONT DR
SAN LEANDRO, CA 94578-1006
Phone number: 510-667-3290
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Mailing Address
Ms. SHANNON S SMITH
2500 FAIRMONT DR
SAN LEANDRO, CA 94578-1006
Phone number: 510-667-3290
Copy
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