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1053709188
MIA SHEPHERD
ROSEVILLE, CA
NPI
1053709188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 61785)
Enumeration Date
2014-12-23
Last Update Date
2022-01-03
Business Address
-- MIA SHEPHERD
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661-3988
Phone number: 916-878-4066
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Mailing Address
-- MIA SHEPHERD
1660 E ROSEVILLE PKWY
ROSEVILLE, CA 95661-3988
Phone number:
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