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1225698954
DIANE ELLEN SHAW
SANTA ANA, CA
NPI
1225698954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A014670315)
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
DIANE ELLEN SHAW CADAC ll
1950 E 17TH ST
SANTA ANA, CA 92705-6852
Phone number: 714-547-4300
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Mailing Address
DIANE ELLEN SHAW CADAC ll
17261 GOTHARD ST SPC 9
HUNTINGTON BEACH, CA 92647-5454
Phone number: 714-604-5281
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