Individual
SHANNON RENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1706 S MERIDIAN, SUITE 120, PUYALLUP, WA 98371-7516
(253) 446-3202
Mailing address
1706 S MERIDIAN, SUITE 120, PUYALLUP, WA 98371-7516
(253) 446-3202
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60604653
WA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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