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1598110496
SHANNON SMITH
VALLEJO, CA
NPI
1598110496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-04-28
Last Update Date
2016-04-28
Business Address
Mrs. SHANNON SMITH
251 GEORGIA ST
VALLEJO, CA 94590-5905
Phone number: 559-288-2444
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Mailing Address
Mrs. SHANNON SMITH
251 GEORGIA ST
VALLEJO, CA 94590-5905
Phone number: 559-288-2444
Copy
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