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1417639170
SHANNON LYNNETTE REYNOLDS
CHESTERFIELD, VA
NPI
1417639170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704016100)
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
SHANNON LYNNETTE REYNOLDS
12519 CAPERNWRAY CT
CHESTERFIELD, VA 23838-5614
Phone number: 804-216-6040
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Mailing Address
SHANNON LYNNETTE REYNOLDS
12519 CAPERNWRAY CT
CHESTERFIELD, VA 23838-5614
Phone number: 804-536-9187
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