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1659650463
SHANNON PATRICIA STAUDT
TIGARD, OR
NPI
1659650463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-10
Last Update Date
2016-07-21
Business Address
-- SHANNON PATRICIA STAUDT
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
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Mailing Address
-- SHANNON PATRICIA STAUDT
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
Copy
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