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1609130707
LA QUESHA SHANELL MILLER
SACRAMENTO, CA
NPI
1609130707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-07-03
Last Update Date
2012-07-03
Business Address
-- LA QUESHA SHANELL MILLER
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
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Mailing Address
-- LA QUESHA SHANELL MILLER
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
Copy
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