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1487361994
MICHAEL J SHEARD
SAN LUIS OBISPO, CA
NPI
1487361994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 8321)
Enumeration Date
2022-11-03
Last Update Date
2023-12-06
Business Address
MICHAEL J SHEARD SUDCC
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-345-0531
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Mailing Address
MICHAEL J SHEARD SUDCC
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-345-0531
Copy
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