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1265941207
SEAN CHAMBERLAIN
GRASS VALLEY, CA
NPI
1265941207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
SEAN CHAMBERLAIN
714 W. MAIN ST.
GRASS VALLEY, CA 95945
Phone number: 530-477-9800
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Mailing Address
SEAN CHAMBERLAIN
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number:
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