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1013434950
SHALIMAR FAYEZ BOULOS
SAN DIEGO, CA
NPI
1013434950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW94523)
Enumeration Date
2017-08-22
Last Update Date
2022-05-18
Business Address
SHALIMAR FAYEZ BOULOS ACSW, MSW, MPH
1045 9TH AVE
SAN DIEGO, CA 92101-5504
Phone number: 619-235-2600
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Mailing Address
SHALIMAR FAYEZ BOULOS ACSW, MSW, MPH
1045 9TH AVE
SAN DIEGO, CA 92101-5504
Phone number: 619-235-2600
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