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1861860389
SHANNON MARIE PENA
WINSTON SALEM, NC
NPI
1861860389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A10731)
Enumeration Date
2015-09-15
Last Update Date
2015-10-25
Business Address
-- SHANNON MARIE PENA MS, CRC. LPCA
3410 HEALY DR STE 203
WINSTON SALEM, NC 27103-1568
Phone number: 336-774-0006
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Mailing Address
-- SHANNON MARIE PENA MS, CRC. LPCA
3410 HEALY DR STE 203
WINSTON SALEM, NC 27103-1568
Phone number: 336-207-6139
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