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1518440429
SHANNON MIKEAL CARROLL
OAKLAND, CA
NPI
1518440429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: CA 85364)
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
SHANNON MIKEAL CARROLL ASW
2640 INTERNATIONAL BLVD
OAKLAND, CA 94601-1512
Phone number: 510-922-0018
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Mailing Address
SHANNON MIKEAL CARROLL ASW
1298 ANTELOPE CREEK DR UNIT 814
ROSEVILLE, CA 95678-2287
Phone number: 682-999-0997
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