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1932989795
SHANNON COOPER
BARNWELL, SC
NPI
1932989795
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Former Name
SHANNON LEE FOWLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
SHANNON COOPER
916 REYNOLDS RD
BARNWELL, SC 29812-6358
Phone number: 803-259-7170
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Mailing Address
SHANNON COOPER
916 REYNOLDS RD
BARNWELL, SC 29812-6358
Phone number: 803-259-7170
Copy
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