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1669070777
CARLIE SHANNON
DAVENPORT, IA
NPI
1669070777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 091279)
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
CARLIE SHANNON LISW
736 FEDERAL ST., STE. 1-103
DAVENPORT, IA 52803-5768
Phone number: 309-684-3212
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Mailing Address
CARLIE SHANNON LISW
736 FEDERAL ST., STE. 1-103
DAVENPORT, IA 52803-5768
Phone number: 309-684-3212
Copy
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