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1467814798
SHAYNE MILLARD
GRASS VALLEY, CA
NPI
1467814798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1234920716)
Enumeration Date
2016-03-25
Last Update Date
2017-02-22
Business Address
-- SHAYNE MILLARD
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-271-1140
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Mailing Address
-- SHAYNE MILLARD
180 SIERRA COLLEGE DR
GRASS VALLEY, CA 95945-5768
Phone number: 530-271-1140
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