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1467724807
SHANTE LANICE LEWIS
RICHMOND, CA
NPI
1467724807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-02-01
Last Update Date
2012-02-01
Business Address
SHANTE LANICE LEWIS
3905 MACDONALD AVE
RICHMOND, CA 94805-2229
Phone number: 510-233-7555
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Mailing Address
SHANTE LANICE LEWIS
3905 MACDONALD AVE
RICHMOND, CA 94805-2229
Phone number: 510-233-7555
Copy
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