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1437588365
VIOLA SHACKLEFORD
STOCKTON, CA
NPI
1437588365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-11-01
Last Update Date
2013-11-01
Business Address
VIOLA SHACKLEFORD
503 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-475-8088
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Mailing Address
VIOLA SHACKLEFORD
503 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-475-8088
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