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1750548038
SHANNON L. MORENO
CASA GRANDE, AZ
NPI
1750548038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-12275)
Enumeration Date
2008-05-22
Last Update Date
2008-05-22
Business Address
Mrs. SHANNON L. MORENO MED, BSW, LPC, LISAC
1901 N TREKELL RD
CASA GRANDE, AZ 85222-1770
Phone number: 520-421-2566
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Mailing Address
Mrs. SHANNON L. MORENO MED, BSW, LPC, LISAC
1657 E SUNFLOWER ST
CASA GRANDE, AZ 85222-6029
Phone number: 520-421-2566
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