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1376213967
SHANNON TRACY
LOS ANGELES, CA
NPI
1376213967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2021-09-15
Last Update Date
2023-06-09
Business Address
SHANNON TRACY
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
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Mailing Address
SHANNON TRACY
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
Copy
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