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1639881253
SHANNON VICTORIA MOORE
VACAVILLE, CA
NPI
1639881253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 33838)
Enumeration Date
2022-12-14
Last Update Date
2022-12-14
Business Address
SHANNON VICTORIA MOORE PhD
1 QUALITY DR
VACAVILLE, CA 95688-9494
Phone number: 707-624-2830
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Mailing Address
SHANNON VICTORIA MOORE PhD
3438 1ST AVE
SACRAMENTO, CA 95817-2015
Phone number: 908-963-6776
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