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1962495259
LUCINDA SUSAN SHANNON
COEUR D ALENE, ID
NPI
1962495259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW889)
Enumeration Date
2005-08-23
Last Update Date
2021-08-03
Business Address
LUCINDA SUSAN SHANNON LCSW
2201 IRONWOOD PLACE
COEUR D ALENE, ID 83814
Phone number: 208-769-4222
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Mailing Address
LUCINDA SUSAN SHANNON LCSW
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299
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