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1902022841
SHANNON LEE JOHNSON
MOULTON, AL
NPI
1902022841
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Former Name
SHANNON LEE CASSADY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-04-18
Last Update Date
2014-07-18
Business Address
SHANNON LEE JOHNSON MA
317 HOSPITAL STREET
MOULTON, AL 35650
Phone number: 256-355-6105
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Mailing Address
SHANNON LEE JOHNSON MA
1316 SOMERVILLE RD SE SUITE 1
DECATUR, AL 35601-4305
Phone number: 256-260-7361
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