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1467855593
SHANNON BALLARD
TAMPA, FL
NPI
1467855593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-10-03
Last Update Date
2014-10-03
Business Address
-- SHANNON BALLARD BS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
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Mailing Address
-- SHANNON BALLARD BS
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-239-8069
Copy
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