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1326633207
PATRICK SHANNON
MISSOULA, MT
NPI
1326633207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MT BBH-LCSW-LIC-48341)
Enumeration Date
2021-03-03
Last Update Date
2021-04-21
Business Address
PATRICK SHANNON LCSW
3700 S RUSSELL ST STE B110
MISSOULA, MT 59801-8574
Phone number: 406-763-6611
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Mailing Address
PATRICK SHANNON LCSW
PO BOX 801
MISSOULA, MT 59806-0801
Phone number: 208-651-1226
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