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1629271499
JENNIFER TRAVERS SHALLAT
OAKLAND, CA
NPI
1629271499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW 23320)
Enumeration Date
2007-06-07
Last Update Date
2010-12-01
Business Address
Ms. JENNIFER TRAVERS SHALLAT LCSW
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
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Mailing Address
Ms. JENNIFER TRAVERS SHALLAT LCSW
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
Copy
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