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1417291816
SHANNON WILLIS
LOUISVILLE, KY
NPI
1417291816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KY 4675)
Enumeration Date
2012-11-26
Last Update Date
2012-11-26
Business Address
-- SHANNON WILLIS
9702 STONESTREET RD STE. 110
LOUISVILLE, KY 40272-6808
Phone number: 502-589-8600
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Mailing Address
-- SHANNON WILLIS
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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