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1568879245
SHANNON MARTIN
PANAMA CITY, FL
NPI
1568879245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
-- SHANNON MARTIN MSW
2711 W 15TH ST
PANAMA CITY, FL 32401-1366
Phone number: 850-769-6001
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Mailing Address
-- SHANNON MARTIN MSW
2008 SUTHERLAND RD
LYNN HAVEN, FL 32444-5387
Phone number: 850-381-6962
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