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1528559523
SHAYLENE CORNELISON
PLACERVILLE, CA
NPI
1528559523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-24
Last Update Date
2020-01-08
Business Address
SHAYLENE CORNELISON
670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667-4200
Phone number: 530-644-2412
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Mailing Address
SHAYLENE CORNELISON
670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667-4200
Phone number:
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