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1992278014
SHANNON MARIE BROADWAY
CHICO, CA
NPI
1992278014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
SHANNON MARIE BROADWAY
590 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-345-3491
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Mailing Address
SHANNON MARIE BROADWAY
590 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-345-3491
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