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1851909295
BARRY SHANNON
GILLETTE, WY
NPI
1851909295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-22
Last Update Date
2022-11-28
Business Address
BARRY SHANNON MSW
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone number: 307-688-5012
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Mailing Address
BARRY SHANNON MSW
501 S BURMA AVE
GILLETTE, WY 82716-3426
Phone number: 307-688-5012
Copy
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