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1609414200
SHANNON KOHLENBERG CAMPBELL
FORT WORTH, TX
NPI
1609414200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 58967)
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
Mrs. SHANNON KOHLENBERG CAMPBELL LCSW
5562 MESA VERDE CT
FORT WORTH, TX 76137-4438
Phone number: 575-693-3798
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Mailing Address
Mrs. SHANNON KOHLENBERG CAMPBELL LCSW
5562 MESA VERDE CT
FORT WORTH, TX 76137-4438
Phone number: 575-693-3798
Copy
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