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1912505561
SHANNON HAFTERSON
AUSTIN, TX
NPI
1912505561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 77696)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
SHANNON HAFTERSON
601 FARLEY DR
AUSTIN, TX 78753-3114
Phone number: 512-387-1398
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Mailing Address
SHANNON HAFTERSON
601 FARLEY DR
AUSTIN, TX 78753-3114
Phone number:
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