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1508521295
SHANNON COOPER
ROCHESTER, NY
NPI
1508521295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
SHANNON COOPER
81 LAKE AVE
ROCHESTER, NY 14608-1410
Phone number: 585-368-6900
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Mailing Address
SHANNON COOPER
81 LAKE AVE
ROCHESTER, NY 14608-1410
Phone number: 585-368-6900
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