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1720790009
JULIA SHANNON
PORTLAND, OR
NPI
1720790009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
JULIA SHANNON
1942 NW KEARNEY ST STE 11
PORTLAND, OR 97209-1463
Phone number: 971-254-1357
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Mailing Address
JULIA SHANNON
2206 NE 19TH AVE
PORTLAND, OR 97212-4615
Phone number:
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