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1912571993
SHANNON GUSTAFSON
LOS ALTOS, CA
NPI
1912571993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
SHANNON GUSTAFSON MA
851 FREMONT AVE STE 210
LOS ALTOS, CA 94024-5602
Phone number: 650-297-3400
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Mailing Address
SHANNON GUSTAFSON MA
114 S 20TH ST
SAN JOSE, CA 95116-2711
Phone number: 707-567-5886
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