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1467700120
ANTHONY DAVID SHIELDS
LONG BEACH, CA
NPI
1467700120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA IMF 64405)
Enumeration Date
2012-08-28
Last Update Date
2012-08-28
Business Address
-- ANTHONY DAVID SHIELDS IMFT
850 E WARDLOW RD
LONG BEACH, CA 90807-4628
Phone number: 562-981-9392
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Mailing Address
-- ANTHONY DAVID SHIELDS IMFT
850 E WARDLOW RD
LONG BEACH, CA 90807-4628
Phone number: 562-981-9392
Copy
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