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1386255545
SHANNON C BAYLESS
DULUTH, MN
NPI
1386255545
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Former Name
SHANNON C PHELPS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27225)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
SHANNON C BAYLESS MSW, LICSW
810 E 4TH ST
DULUTH, MN 55805-2147
Phone number: 218-624-5683
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Mailing Address
SHANNON C BAYLESS MSW, LICSW
1401 EAST 1ST STREET
DULUTH, MN 55805-2407
Phone number: 218-728-4491
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