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1477201044
KATHERINE ELIZABETH EVELYN SHORE
CARMICHAEL, CA
NPI
1477201044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1460010322)
Enumeration Date
2022-03-14
Last Update Date
2024-02-14
Business Address
KATHERINE ELIZABETH EVELYN SHORE
8400 FAIR OAKS BLVD
CARMICHAEL, CA 95608-2502
Phone number: 916-944-3920
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Mailing Address
KATHERINE ELIZABETH EVELYN SHORE
5311 ARGO WAY
SACRAMENTO, CA 95820-5739
Phone number: 916-719-2071
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