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1851759039
SHANNON GENOVESE
LONG BEACH, CA
NPI
1851759039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-03
Last Update Date
2019-03-29
Business Address
SHANNON GENOVESE
4335 ATLANTIC AVE
LONG BEACH, CA 90807-2803
Phone number: 562-216-4900
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Mailing Address
SHANNON GENOVESE
781 TERMINO AVE
LONG BEACH, CA 90804-5334
Phone number:
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