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1265145981
SHEENA BLACKWELL
SANTA ROSA, CA
NPI
1265145981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-12-27
Last Update Date
2023-10-24
Business Address
SHEENA BLACKWELL
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407-5004
Phone number: 707-571-5581
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Mailing Address
SHEENA BLACKWELL
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407-5004
Phone number: 415-861-0828
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