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1518504232
SHANNON M. HOLLAND
TUSTIN, CA
NPI
1518504232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS16289)
Enumeration Date
2019-12-01
Last Update Date
2019-12-04
Business Address
SHANNON M. HOLLAND LCSW
1162 DEBORAH DR
TUSTIN, CA 92780-2409
Phone number: 714-425-5707
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Mailing Address
SHANNON M. HOLLAND LCSW
360 E 1ST ST STE 901
TUSTIN, CA 92780-3211
Phone number: 714-425-0915
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