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1255520193
MADISON SHIELDS
SAN LUIS OBISPO, CA
NPI
1255520193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-10-16
Last Update Date
2007-10-16
Business Address
-- MADISON SHIELDS
3765 S HIGUERA ST STE 100
SAN LUIS OBISPO, CA 93401-1577
Phone number: 805-781-3535
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Mailing Address
-- MADISON SHIELDS
433 STAGECOACH RD
ARROYO GRANDE, CA 93420-2335
Phone number:
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