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1801509450
SHANNON NICOLE BLANCIAK
CORAOPOLIS, PA
NPI
1801509450
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Former Name
SHANNON NICOLE FALCONE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW015155)
Enumeration Date
2022-12-28
Last Update Date
2022-12-28
Business Address
SHANNON NICOLE BLANCIAK
254 FOXWOOD RD
CORAOPOLIS, PA 15108-2420
Phone number: 415-360-3348
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Mailing Address
SHANNON NICOLE BLANCIAK
254 FOXWOOD RD
CORAOPOLIS, PA 15108-2420
Phone number: 215-880-5289
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