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1609933449
SHANNON MANDLE KETTNER
COLORADO SPRINGS, CO
NPI
1609933449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 1075)
Enumeration Date
2007-01-02
Last Update Date
2015-11-17
Business Address
Dr. SHANNON MANDLE KETTNER PhD, LSCSW
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907-4094
Phone number: 719-327-5660
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Mailing Address
Dr. SHANNON MANDLE KETTNER PhD, LSCSW
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907-4094
Phone number: 719-327-5660
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