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1457020901
SHAWNA PHILLIPS
MODESTO, CA
NPI
1457020901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 11702)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
SHAWNA PHILLIPS SAC
823 E ORANGEBURG AVE
MODESTO, CA 95350-4619
Phone number: 209-527-9797
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Mailing Address
SHAWNA PHILLIPS SAC
823 E ORANGEBURG AVE
MODESTO, CA 95350-4619
Phone number: 209-527-9797
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