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1295489029
SHELLY A LABASS
STOCKTON, CA
NPI
1295489029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1446051021)
Enumeration Date
2022-02-10
Last Update Date
2022-02-13
Business Address
SHELLY A LABASS
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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Mailing Address
SHELLY A LABASS
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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