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1912607664
SHANNON ELIZABETH BAKER
SAN DIEGO, CA
NPI
1912607664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 125408)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2023-03-09
Last Update Date
2024-09-11
Business Address
SHANNON ELIZABETH BAKER ASW
1750 5TH AVE
SAN DIEGO, CA 92101-2754
Phone number: 619-515-2588
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Mailing Address
SHANNON ELIZABETH BAKER ASW
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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