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1013502772
MARISSA SHOVELSKI
MODESTO, CA
NPI
1013502772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-03-04
Last Update Date
2021-09-01
Business Address
MARISSA SHOVELSKI
1001 NEEDHAM ST
MODESTO, CA 95354-0730
Phone number: 209-569-0373
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Mailing Address
MARISSA SHOVELSKI
1200 CONCORD AVE STE 100
CONCORD, CA 94520-4969
Phone number: 510-832-4383
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