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1760924799
SHANNON KAY JOHNSON
IDAHO FALLS, ID
NPI
1760924799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-36196)
Enumeration Date
2016-11-08
Last Update Date
2016-11-08
Business Address
-- SHANNON KAY JOHNSON LMSW
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
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Mailing Address
-- SHANNON KAY JOHNSON LMSW
2267 TETON PLZ
IDAHO FALLS, ID 83404-6486
Phone number: 208-522-0140
Copy
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