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1487982419
SUSAN M SHADDICK
SANTA ROSA, CA
NPI
1487982419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 37864)
Enumeration Date
2009-12-02
Last Update Date
2010-03-31
Business Address
Ms. SUSAN M SHADDICK M.A., MFT
621 CHERRY ST
SANTA ROSA, CA 95404-4202
Phone number: 707-884-9706
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Mailing Address
Ms. SUSAN M SHADDICK M.A., MFT
35501 S HIGHWAY 1 UNIT 23
GUALALA, CA 95445-9545
Phone number: 707-889-3442
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