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1427622448
SHANNON MICHELLE WISE
FOLEY, AL
NPI
1427622448
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Former Name
SHANNON MICHELLE PARKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AL 3571)
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
SHANNON MICHELLE WISE MS
820 N ALSTON ST STE A
FOLEY, AL 36535-3510
Phone number: 251-269-1819
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Mailing Address
SHANNON MICHELLE WISE MS
7731 BELLEFIELD DR E
THEODORE, AL 36582-2365
Phone number: 251-510-0897
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