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1275792681
SHAVONNE MARSHALL
CANOGA PARK, CA
NPI
1275792681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
-- SHAVONNE MARSHALL
7245 OWENSMOUTH AVE
CANOGA PARK, CA 91303-1530
Phone number: 818-593-4581
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Mailing Address
-- SHAVONNE MARSHALL
7245 OWENSMOUTH AVE
CANOGA PARK, CA 91303-1530
Phone number:
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