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1336406198
SHANNON ROSE
WHITE CITY, OR
NPI
1336406198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR l6498)
Enumeration Date
2012-04-18
Last Update Date
2019-02-14
Business Address
SHANNON ROSE MSW CSWA
8385 DIVISION RD
WHITE CITY, OR 97503-1176
Phone number: 541-826-5853
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Mailing Address
SHANNON ROSE MSW CSWA
900 E MAIN ST STE 201
MEDFORD, OR 97504-7136
Phone number: 541-842-7705
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