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1649892092
SHANNON MARIE KLESCEWSKI
NOME, AK
NPI
1649892092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-08
Last Update Date
2020-05-08
Business Address
SHANNON MARIE KLESCEWSKI
607 DIVISION ST.
NOME, AK 99762
Phone number: 907-443-4520
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Mailing Address
SHANNON MARIE KLESCEWSKI
PO BOX 966
NOME, AK 99762-0966
Phone number: 907-443-4520
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