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1083398788
MACIE SHAY ANDERSON
FALLON, NV
NPI
1083398788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 07251)
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
MACIE SHAY ANDERSON CADC-I
1490 GRIMES ST
FALLON, NV 89406-3103
Phone number: 775-423-1490
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Mailing Address
MACIE SHAY ANDERSON CADC-I
1490 GRIMES ST
FALLON, NV 89406-3103
Phone number: 775-423-1412
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