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1770922619
SHANNON NICOLE FAIN
HENDERSON, NC
NPI
1770922619
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Former Name
SHANNON NICOLE JORDAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P007691)
Enumeration Date
2013-06-24
Last Update Date
2013-06-24
Business Address
Mrs. SHANNON NICOLE FAIN
200 W PARKVIEW DR SUITE A
HENDERSON, NC 27536-5958
Phone number: 252-572-2663
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Mailing Address
Mrs. SHANNON NICOLE FAIN
4748 COURTNEY LN APT. H
RALEIGH, NC 27616-5248
Phone number: 919-931-3327
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