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1942443288
SHANNON PROUD-LEQUIA
MERCED, CA
NPI
1942443288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-04-16
Last Update Date
2021-11-03
Business Address
SHANNON PROUD-LEQUIA
300 E 15TH ST STE B
MERCED, CA 95341-6217
Phone number: 209-381-6800
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Mailing Address
SHANNON PROUD-LEQUIA
PO BOX 2087
MERCED, CA 95344-0087
Phone number: 209-381-6800
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