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1386911451
SHANNON GANTT SHORE
STATESVILLE, NC
NPI
1386911451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C007665)
Enumeration Date
2011-11-17
Last Update Date
2012-05-24
Business Address
-- SHANNON GANTT SHORE LCSW
209 BARIUM SPRINGS DRIVE
STATESVILLE, NC 28677-6238
Phone number: 704-873-1011
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Mailing Address
-- SHANNON GANTT SHORE LCSW
209 BARIUM SPRINGS DRIVE
STATESVILLE, NC 28677-6238
Phone number: 704-873-1011
Copy
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