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1720602527
SHANNON E RAIKES
JACKSONVILLE, FL
NPI
1720602527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH16624)
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
SHANNON E RAIKES M.Ed., LMHC
13990 BARTRAM PARK BLVD UNIT 209
JACKSONVILLE, FL 32258-5543
Phone number: 214-551-5365
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Mailing Address
SHANNON E RAIKES M.Ed., LMHC
13990 BARTRAM PARK BLVD UNIT 209
JACKSONVILLE, FL 32258-5543
Phone number: 214-551-5365
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