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1538735626
JADE MICHELLE SHELTON
SAN TAN VALLEY, AZ
NPI
1538735626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 15330)
Enumeration Date
2021-05-31
Last Update Date
2021-05-31
Business Address
JADE MICHELLE SHELTON LASAC
480 E PASTURE CANYON DR
SAN TAN VALLEY, AZ 85143-5813
Phone number: 602-505-6698
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Mailing Address
JADE MICHELLE SHELTON LASAC
480 E PASTURE CANYON DR
SAN TAN VALLEY, AZ 85143-5813
Phone number: 602-505-6698
Copy
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