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1457451924
RONALD CONWAY SHACKELFORD
MISSION VIEJO, CA
NPI
1457451924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT #36608)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
DR. RONALD CONWAY SHACKELFORD D.MIN., M.S., MFT
23381 SAINT ANDREWS
MISSION VIEJO, CA 92692
Phone number: 949-455-1017
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Mailing Address
DR. RONALD CONWAY SHACKELFORD D.MIN., M.S., MFT
23381 SAINT ANDREWS
MISSION VIEJO, CA 92692
Phone number: 949-455-1017
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