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1326243221
SHANE ROBERT WALLIN
SAN LEANDRO, CA
NPI
1326243221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 28659)
Enumeration Date
2007-06-19
Last Update Date
2015-04-06
Business Address
Mr. SHANE ROBERT WALLIN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-847-4325
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Mailing Address
Mr. SHANE ROBERT WALLIN
2513 24TH ST
SAN FRANCISCO, CA 94110-3556
Phone number: 415-238-5698
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