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1093281941
SHANAE YVONE ANDERSON
STOCKTON, CA
NPI
1093281941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 7588)
Enumeration Date
2018-10-18
Last Update Date
2023-06-28
Business Address
SHANAE YVONE ANDERSON
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-465-1080
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Mailing Address
SHANAE YVONE ANDERSON
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-320-7622
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