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1336292739
SHANNON HEIDE LIVINGSTON
OTTAWA, KS
NPI
1336292739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS LSCSW 2505)
Enumeration Date
2007-01-19
Last Update Date
2007-07-09
Business Address
-- SHANNON HEIDE LIVINGSTON LSCSW
2537 EISENHOWER RD
OTTAWA, KS 66067-9482
Phone number: 785-242-2183
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Mailing Address
-- SHANNON HEIDE LIVINGSTON LSCSW
310 OKLAHOMA ST
LAWRENCE, KS 66046-4830
Phone number:
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