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1144853177
MICHELLE LILLIAN MARSHALL
REDDING, CA
NPI
1144853177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
MICHELLE LILLIAN MARSHALL RADT
3617 RICARDO AVE
REDDING, CA 96002-2653
Phone number: 530-722-1114
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Mailing Address
MICHELLE LILLIAN MARSHALL RADT
3847 WELLINGTON PL
SHASTA LAKE, CA 96019-9139
Phone number: 530-921-7874
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