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1801900543
FAYE J. SHANNON
HASTINGS, MI
NPI
1801900543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801020120)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- FAYE J. SHANNON
450 MEADOW RUN DR
HASTINGS, MI 49058-9053
Phone number: 269-948-8465
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Mailing Address
-- FAYE J. SHANNON
450 MEADOW RUN DR
HASTINGS, MI 49058-9053
Phone number: 269-948-8465
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