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1376556563
ANDREA MARIE SHANNON
LOUISVILLE, KY
NPI
1376556563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 127994)
Enumeration Date
2006-08-15
Last Update Date
2016-06-08
Business Address
-- ANDREA MARIE SHANNON
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-8600
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Mailing Address
-- ANDREA MARIE SHANNON
4710 CHAMPIONS TRACE LN 107
LOUISVILLE, KY 40218-3495
Phone number: 502-589-8600
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