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1417346099
SHANTIA MARIE GOODWIN
STOCKTON, CA
NPI
1417346099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
-- SHANTIA MARIE GOODWIN
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-465-1080
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Mailing Address
-- SHANTIA MARIE GOODWIN
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-465-1080
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