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1174047252
SUSAN LYNN SHAFER
ESCONDIDO, CA
NPI
1174047252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1236360816)
Enumeration Date
2017-07-31
Last Update Date
2017-07-31
Business Address
SUSAN LYNN SHAFER
161 N DATE ST
ESCONDIDO, CA 92025-3405
Phone number: 760-745-7786
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Mailing Address
SUSAN LYNN SHAFER
161 N DATE ST
ESCONDIDO, CA 92025-3405
Phone number: 760-466-9347
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