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Individual

MS. SHANNON MICHELLE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1818 SAN PEDRO AVE, SAN ANTONIO, TX 78212-3603
(210) 733-3349
(210) 733-7755
Mailing address
1818 SAN PEDRO AVE, SAN ANTONIO, TX 78212-3603
(210) 733-3349
(210) 733-7755

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19270
TX

Other

Enumeration date
10/12/2006
Last updated
10/26/2009
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