SHANE DAVID

OAKLAND, CA
NPI1629326418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  82036)
Enumeration Date2012-08-27
Last Update Date2015-03-23
Business Address
-- SHANE DAVID
490 LAKE PARK AVE UNIT 10524
OAKLAND, CA 94610-8018
Phone number: 510-473-8806
Mailing Address
-- SHANE DAVID
490 LAKE PARK AVE UNIT 10524
OAKLAND, CA 94610-8018
Phone number: 510-473-8806
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