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1306216692
SHANNA BOULDEN
ANTIOCH, CA
NPI
1306216692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
SHANNA BOULDEN
1401 W 4TH ST
ANTIOCH, CA 94509-1024
Phone number: 925-778-3750
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Mailing Address
SHANNA BOULDEN
1401 W 4TH ST
ANTIOCH, CA 94509-1024
Phone number: 925-778-3750
Copy
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