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1023380540
SHANICE KELLEY
HAYWARD, CA
NPI
1023380540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
-- SHANICE KELLEY
22505 WOODROE AVE
HAYWARD, CA 94541-3410
Phone number: 510-537-1688
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Mailing Address
-- SHANICE KELLEY
1814 FRANKLIN ST FL 4
OAKLAND, CA 94612-3487
Phone number: 510-613-0330
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