SHANNON WALLACE OTTENS

SEBASTOPOL, CA
NPI1740064229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  117344)
Enumeration Date2023-08-24
Last Update Date2023-08-24
Business Address
SHANNON WALLACE OTTENS ACSW
652 PETALUMA AVE STE H
SEBASTOPOL, CA 95472-4266
Phone number: 707-823-3166
Mailing Address
SHANNON WALLACE OTTENS ACSW
PO BOX 8531
SANTA ROSA, CA 95407-1531
Phone number:
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