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1043444110
KEISHANNA L SHEIN
LOS ANGELES, CA
NPI
1043444110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-05-05
Last Update Date
2009-05-05
Business Address
-- KEISHANNA L SHEIN
1897 W. JEFFERSON SUITE A
LOS ANGELES, CA 90018
Phone number: 323-202-0939
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Mailing Address
-- KEISHANNA L SHEIN
1044 W 94TH ST APT 2
LOS ANGELES, CA 90044-3260
Phone number:
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