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Individual
MS. SHANNON DIANE OESCH
Active
Individual
MS. SHANNON DIANE OESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1493-09
HI
1041C0700X
Clinical Social Worker
0904010002
VA
1041C0700X
Clinical Social Worker
Primary
3781
HI
Other
Enumeration date
12/21/2009
Last updated
01/04/2018
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