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1174251631
SHAVONDA NICOLE MERRITT
TARZANA, CA
NPI
1174251631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
SHAVONDA NICOLE MERRITT
18700 OXNARD ST
TARZANA, CA 91356-1413
Phone number: 818-996-1051
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Mailing Address
SHAVONDA NICOLE MERRITT
10822 MAGNOLIA BLVD APT 20
NORTH HOLLYWOOD, CA 91601-3955
Phone number: 213-348-0602
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