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1669146205
SHANNON THEOBALD
PARSIPPANY, NJ
NPI
1669146205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NJ 37PC00896500)
Enumeration Date
2021-08-06
Last Update Date
2022-10-18
Business Address
SHANNON THEOBALD LPC
181 NEW RD STE 304
PARSIPPANY, NJ 07054-5625
Phone number: 201-389-9308
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Mailing Address
SHANNON THEOBALD LPC
151 LAKE AVE
BOONTON, NJ 07005-1135
Phone number: 201-407-7047
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