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1689902397
MARY SHANNON VANSTAVOREN
FORT STEWART, GA
NPI
1689902397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC C007883)
Enumeration Date
2009-11-19
Last Update Date
2015-11-17
Business Address
-- MARY SHANNON VANSTAVOREN P-LCSW
1061 HARMON AVE SUITE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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Mailing Address
-- MARY SHANNON VANSTAVOREN P-LCSW
1061 HARMON AVENUE SUITE 1D03
FORT STEWART, GA 31314-5674
Phone number: 912-435-6965
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