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1750093936
SHANNON LEE MUNN
ROSEBURG, OR
NPI
1750093936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 18-10-08)
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
SHANNON LEE MUNN CADCII 18-10-08
913 GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-440-1000
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Mailing Address
SHANNON LEE MUNN CADCII 18-10-08
913 GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-440-1000
Copy
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