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1417278342
SHAHEED SHABAZZ
SAN FRANCISCO, CA
NPI
1417278342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
Mr. SHAHEED SHABAZZ
433 TURK ST
SAN FRANCISCO, CA 94102-3329
Phone number: 415-928-7800
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Mailing Address
Mr. SHAHEED SHABAZZ
638 W OAK ST
STOCKTON, CA 95203-2305
Phone number: 209-922-6648
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