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1932650454
SHANNON CHILDRESS
BOWLING GREEN, KY
NPI
1932650454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- SHANNON CHILDRESS
1338 WESTEN ST
BOWLING GREEN, KY 42104-3365
Phone number: 270-392-5531
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Mailing Address
-- SHANNON CHILDRESS
104 PEDIGO ST
GLASGOW, KY 42141-1439
Phone number: 270-392-5531
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