SHANNON MOORE

SAN DIEGO, CA
NPI1386095453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY20947)
Enumeration Date2016-06-29
Last Update Date2016-06-29
Business Address
-- SHANNON MOORE
480 ALTA RD
SAN DIEGO, CA 92179-0001
Phone number: 619-661-6500
Mailing Address
-- SHANNON MOORE
PO BOX 12641
LA JOLLA, CA 92039-2641
Phone number: 858-453-8509
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