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1578786489
CAROLYN JEAN SHANNON
COUNCIL BLUFFS, IA
NPI
1578786489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 05910)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Ms. CAROLYN JEAN SHANNON LISW
300 W BROADWAY SUITE 223
COUNCIL BLUFFS, IA 51503-9045
Phone number: 712-328-3086
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Mailing Address
Ms. CAROLYN JEAN SHANNON LISW
300 W BROADWAY SUITE 223
COUNCIL BLUFFS, IA 51503-9045
Phone number: 712-328-3086
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