VIOLA SHACKLEFORD

STOCKTON, CA
NPI1437588365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-11-01
Last Update Date2013-11-01
Business Address
-- VIOLA SHACKLEFORD
503 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-475-8088
Mailing Address
-- VIOLA SHACKLEFORD
503 S PERSHING AVE
STOCKTON, CA 95203-3236
Phone number: 209-475-8088
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