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1356648661
SHANNON CAROL TEAGUE
LOVELAND, CO
NPI
1356648661
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Former Name
SHANNON CAROL THOMPSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.020890)
Enumeration Date
2011-02-23
Last Update Date
2024-04-02
Business Address
SHANNON CAROL TEAGUE
4575 BYRD DR
LOVELAND, CO 80538-7198
Phone number: 970-593-3300
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Mailing Address
SHANNON CAROL TEAGUE
3941 WABASH LN
NORTH LAS VEGAS, NV 89032-0455
Phone number: 702-787-9340
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