SHANNON G. CONVERSE

MODESTO, CA
NPI1699055673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
Enumeration Date2011-08-23
Last Update Date2011-08-23
Business Address
-- SHANNON G. CONVERSE
610 14TH ST
MODESTO, CA 95354-2505
Phone number: 209-524-4858
Mailing Address
-- SHANNON G. CONVERSE
4208 FARA BIUNDO DR
MODESTO, CA 95355-9794
Phone number: 209-526-5019