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1992955330
SHANNON MARIE HASKIN
MODESTO, CA
NPI
1992955330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
Miss SHANNON MARIE HASKIN
111 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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Mailing Address
Miss SHANNON MARIE HASKIN
111 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
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