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1659982445
SHANNON E PETERSON
DES MOINES, IA
NPI
1659982445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 112347)
Enumeration Date
2020-08-14
Last Update Date
2022-12-14
Business Address
SHANNON E PETERSON
309 COURT AVE STE 241
DES MOINES, IA 50309-2282
Phone number: 515-901-2974
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Mailing Address
SHANNON E PETERSON
309 COURT AVE STE 241
DES MOINES, IA 50309-2282
Phone number: 515-901-2974
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