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1336793603
SHADY MARIANNA BORDWELL
LEMON GROVE, CA
NPI
1336793603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
SHADY MARIANNA BORDWELL
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
SHADY MARIANNA BORDWELL
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
Copy
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