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1497092977
SHANNON OTAWKA
HUNTINGTON BEACH, CA
NPI
1497092977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 111859)
Enumeration Date
2013-01-03
Last Update Date
2019-11-22
Business Address
SHANNON OTAWKA
18700 MAIN ST STE 202
HUNTINGTON BEACH, CA 92648-1714
Phone number: 949-447-1154
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Mailing Address
SHANNON OTAWKA
18700 MAIN ST STE 202
HUNTINGTON BEACH, CA 92648-1714
Phone number: 949-447-1154
Copy
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