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1306073952
SHANNON RENEE VANDERBERG
RESEDA, CA
NPI
1306073952
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Former Name
SHANNON RENEE WASHINGTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC90568)
Enumeration Date
2009-06-22
Last Update Date
2018-03-17
Business Address
Mrs. SHANNON RENEE VANDERBERG
19231 VICTORY BLVD STE 110
RESEDA, CA 91335-6321
Phone number: 818-708-4500
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Mailing Address
Mrs. SHANNON RENEE VANDERBERG
19231 VICTORY BLVD STE 110
RESEDA, CA 91335-6321
Phone number: 818-708-4500
Copy
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