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1962708685
SHANNON R MARTIN
GLENDALE, AZ
NPI
1962708685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-13585)
Enumeration Date
2011-01-27
Last Update Date
2021-07-16
Business Address
SHANNON R MARTIN LCSW
17505 N 79TH AVE STE 304A
GLENDALE, AZ 85308-8729
Phone number: 623-606-5522
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Mailing Address
SHANNON R MARTIN LCSW
7558 W THUNDERBIRD RD STE 1-492
PEORIA, AZ 85381-6080
Phone number: 623-606-5522
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