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1497051304
PEGGY N. SHANNON
WHEAT RIDGE, CO
NPI
1497051304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 6870)
Enumeration Date
2011-02-10
Last Update Date
2011-02-10
Business Address
Ms. PEGGY N. SHANNON CAC III
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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Mailing Address
Ms. PEGGY N. SHANNON CAC III
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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