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1528894755
SHANNON L BUPP
AUSTIN, TX
NPI
1528894755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX LCDC-68127)
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
SHANNON L BUPP LCDC
305 FERGUSON DR
AUSTIN, TX 78753-3006
Phone number: 512-339-9757
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Mailing Address
SHANNON L BUPP LCDC
8444 N 90TH ST STE 100
SCOTTSDALE, AZ 85258-4437
Phone number: 602-248-8886
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