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1164717237
KIEAWNIE DORINE SHEDRICK
GREENBRAE, CA
NPI
1164717237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-16
Last Update Date
2011-06-17
Business Address
-- KIEAWNIE DORINE SHEDRICK
1251 S ELISEO DR
GREENBRAE, CA 94904-2005
Phone number: 415-924-5995
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Mailing Address
-- KIEAWNIE DORINE SHEDRICK
1251 S ELISEO DR
GREENBRAE, CA 94904-2005
Phone number: 415-924-5995
Copy
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