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Individual
SHANNON JOY BALES
Active
Individual
SHANNON JOY BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60584663
WA
Other
Enumeration date
09/11/2013
Last updated
05/05/2016
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