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1124372610
SUMMER REBECCA SHIELDS
COMPTON, CA
NPI
1124372610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RW5774)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
-- SUMMER REBECCA SHIELDS
369 W COMPTON BLVD
COMPTON, CA 90220-3110
Phone number: 310-603-6555
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Mailing Address
-- SUMMER REBECCA SHIELDS
369 W COMPTON BLVD
COMPTON, CA 90220-3110
Phone number: 310-603-6555
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