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1578718912
SHANNA RAE COLLASO
ESCONDIDO, CA
NPI
1578718912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NV BACHELOR OF SCIENCE)
Enumeration Date
2008-11-26
Last Update Date
2009-02-26
Business Address
MRS. SHANNA RAE COLLASO BACHELOR OF SCIENCE
130 S FIG ST
ESCONDIDO, CA 92025-4401
Phone number: 760-741-5098
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Mailing Address
MRS. SHANNA RAE COLLASO BACHELOR OF SCIENCE
603 SEAGAZE DR # 289
OCEANSIDE, CA 92054-3005
Phone number: 702-321-8052
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