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1902921356
SHANNON M BENNETT
ALAMOSA, CO
NPI
1902921356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: CO 603)
Enumeration Date
2007-03-21
Last Update Date
2007-07-09
Business Address
SHANNON M BENNETT LCSW
8745 COUNTY ROAD 9 S
ALAMOSA, CO 81101-9610
Phone number: 719-589-3671
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Mailing Address
SHANNON M BENNETT LCSW
8745 COUNTY ROAD 9 S
ALAMOSA, CO 81101-9610
Phone number: 719-589-3671
Copy
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