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1225514532
DESARAE SHENICE WELCHEL
GRASS VALLEY, CA
NPI
1225514532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-19
Last Update Date
2019-12-30
Business Address
DESARAE SHENICE WELCHEL
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
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Mailing Address
DESARAE SHENICE WELCHEL
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Copy
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