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1801465711
STEPHANIE ANN SHANNON
ROCKLIN, CA
NPI
1801465711
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Former Name
STEPHANIE ANN DIAZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
Ms. STEPHANIE ANN SHANNON
5640 ADOBE RD
ROCKLIN, CA 95765-4530
Phone number: 650-773-6065
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Mailing Address
Ms. STEPHANIE ANN SHANNON
5640 ADOBE RD
ROCKLIN, CA 95765-4530
Phone number: 650-773-6065
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