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1477275733
SHANNON MICHELLE GONZALEZ
OAKLAND, CA
NPI
1477275733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
SHANNON MICHELLE GONZALEZ
17 EMBARCADERO COVE INTERNAL DRIVEWAY
OAKLAND, CA 94606
Phone number: 510-535-1344
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Mailing Address
SHANNON MICHELLE GONZALEZ
26109 COCEMAN AVE
HAYWARD, CA 94544
Phone number:
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