SALLY SHIVELY

POMONA, CA
NPI1114706298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1497220223)
Enumeration Date2023-09-27
Last Update Date2023-09-27
Business Address
SALLY SHIVELY
831 E ARROWHIGHYWAY
POMONA, CA 91767
Phone number: 909-634-2950
Mailing Address
SALLY SHIVELY
1350 SAN BERNARDINO RD SPC 68
UPLAND, CA 91786-4939
Phone number: 626-274-3239
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