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1649778754
ROY MICHAEL SHACKEL
SAN JOSE, CA
NPI
1649778754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA ASW74165)
Enumeration Date
2018-01-24
Last Update Date
2018-01-24
Business Address
ROY MICHAEL SHACKEL MSW, ASW
2101 ALEXIAN DR STE 110
SAN JOSE, CA 95116-1901
Phone number: 408-272-6527
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Mailing Address
ROY MICHAEL SHACKEL MSW, ASW
2101 ALEXIAN DR STE 110
SAN JOSE, CA 95116-1901
Phone number: 408-272-6527
Copy
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