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1588938823
SHANNON CHASTAIN
AUGUSTA, GA
NPI
1588938823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-03-05
Last Update Date
2012-03-05
Business Address
-- SHANNON CHASTAIN
3643 WALTON WAY EXT BUILDING 4
AUGUSTA, GA 30909-4507
Phone number: 706-364-1404
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Mailing Address
-- SHANNON CHASTAIN
3643 WALTON WAY EXT BUILDING 4
AUGUSTA, GA 30909-4507
Phone number: 706-364-1404
Copy
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