SHANNON AGNEW

MODESTO, CA
NPI1457605859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-11-07
Last Update Date2016-04-01
Business Address
-- SHANNON AGNEW
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
Mailing Address
-- SHANNON AGNEW
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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