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1922630789
KATHERINE SHANNON
GRAND RAPIDS, MI
NPI
1922630789
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Former Name
KATHERINE FLYNN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: MI 6301017825)
Enumeration Date
2020-02-10
Last Update Date
2020-02-10
Business Address
KATHERINE SHANNON
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-365-8920
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Mailing Address
KATHERINE SHANNON
3292 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-365-8920
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