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1457589574
ASHLEY SHIVELY
WEST SACRAMENTO, CA
NPI
1457589574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-06-26
Last Update Date
2009-06-26
Business Address
-- ASHLEY SHIVELY
500B JEFFERSON BLVD # 195
WEST SACRAMENTO, CA 95605-2349
Phone number: 916-403-2970
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Mailing Address
-- ASHLEY SHIVELY
PO BOX 1260
DAVIS, CA 95617-1260
Phone number: 530-753-3498
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