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1508538562
SHANNON STEPHENSON
ALBUQUERQUE, NM
NPI
1508538562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX CTB-2023-0286)
Enumeration Date
2021-09-29
Last Update Date
2023-04-17
Business Address
SHANNON STEPHENSON
11401 MENAUL BLVD NE
ALBUQUERQUE, NM 87112-2435
Phone number: 505-525-3649
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Mailing Address
SHANNON STEPHENSON
300 MENAUL BLVD NW STE A
ALBUQUERQUE, NM 87107-1347
Phone number: 505-525-9649
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