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1780240556
SHANNON CARA TRACEY
INDIANAPOLIS, IN
NPI
1780240556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007707A)
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
SHANNON CARA TRACEY LCSW
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202-5187
Phone number: 317-880-6629
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Mailing Address
SHANNON CARA TRACEY LCSW
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202-5187
Phone number: 317-880-6629
Copy
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