GEORGIANNE SHACKELFORD

SACRAMENTO, CA
NPI1124692785
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-05-18
Last Update Date2021-05-18
Business Address
GEORGIANNE SHACKELFORD
1614 54TH STREET
SACRAMENTO, CA 95819
Phone number: 916-990-2582
Mailing Address
GEORGIANNE SHACKELFORD
1614 54TH STREET
SACRAMENTO, CA 95819
Phone number:
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