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1548570583
JACK SHIELDS COUSINEAU
ANTIOCH, CA
NPI
1548570583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT90191)
Enumeration Date
2010-10-08
Last Update Date
2018-10-15
Business Address
Mr. JACK SHIELDS COUSINEAU LMFT
3700 DELTA FAIR BLVD STE 201A
ANTIOCH, CA 94509-4073
Phone number: 510-809-7350
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Mailing Address
Mr. JACK SHIELDS COUSINEAU LMFT
PO BOX 697
HAYWARD, CA 94543-0697
Phone number: 626-710-7915
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